Endodontic instruments and methods of manufacturing thereof

ABSTRACT

A method for manufacturing a nonlinear superelastic file comprising the steps of: providing a superelastic file having a shaft and a file axis; providing a fixture including a file groove being defined by one or more displacement members, the file groove configured for receiving the shaft; inserting at least a portion of the shaft into the fixture along the file groove, the portion of the shaft including a first portion of the shaft; contacting the first portion of the shaft with a first displacement member of the one or more displacement members such that the first portion of the shaft is displaced from the file axis thereby forming a first offset portion of the shaft; heating the portion of the shaft while inserted in the fixture to a temperature of at least about 300° C. for a time period of at least about 1 minute to shape-set the portion of the shaft thereby forming a shape-set nonlinear file.

FIELD OF INVENTION

The present invention is directed to a method for treating a dentalinstrument, and specifically to a rotary file useful for shaping andcleaning root canals.

BACKGROUND OF THE INVENTION

The endodontic instruments (including files and reamers) are used forcleaning and shaping the root canals of infected teeth. They may be inmode of either rotation or reciprocation in the canal by dentists,either manually or with the aid of dental handpieces onto which theinstruments are mounted. Instruments are generally used in sequence(depending on different root canal surgery techniques) in order toachieve the desired outcome of cleaning and shaping. The endodonticinstrument is subjected to substantial cyclic bending and torsionalstresses as it is used in the process of cleaning and shaping a rootcanal. Because of the complex curvature of root canals, a variety ofunwanted procedural accidents such as ledging, transportation,perforation, or instrument separation, can be encountered in thepractice of endodontics.

Currently, endodontic rotary instruments made of Shape Memory Alloys(SMA) have shown better overall performance than stainless steelcounterparts. However, the occurrence of unwanted procedural accidentsmentioned above has not been drastically reduced. Therefore, itnecessitates new endodontic instruments with improved overallproperties, especially flexibility and resistance to fracture either dueto cyclic fatigue and torsional overload.

U.S. Pat. No. 4,889,487 discusses an endodontic file having one or moreelongated, bow-shaped bends for being used to enlarge and shape the rootcanal. Since not all root canals have the same geometry, a conventionaltapered file typically produces a circular cross-section therebylimiting the removing the dentin and soft tissue from the canal togenerally one sized canal opening corresponding to thecircular-cross-section of the conventional file. This patent discussescrimping the file between to stamping member to shape the file to thedesired bend radius. The problem with crimping a file is that the toolused to crimp may potentially damage the fluting of the file thus makingless efficient in cutting. Another issue with crimping a file is that itinherently weakens the file in that crimped area thus making it moresusceptible to breaking within the canal. U.S. Pat. No. 7,713,059discusses an instrument for cleaning and/or shaping and/or widening achannel for a root canal. This design having an inner volume enclosed bythe instrument and its outer contour may be allowed to change as aresult of the forces exerted on it while working.

One possibly advantage of the present invention as compared toconventional rotary files is a method for forming a non-superelasticfile. Another possibly advantage of the present invention as compared toconventional rotary files is a method for forming a nonlinear file(e.g., a non-superelastic nonlinear file) that may be able to changeshape and geometry by either expanding or collapsing while shaping aroot canal. Also, by shaping the rotary file with this process of usinga fixture to shape set a shape memory alloy (e.g., NiTi), it may preventthe fluting from being damaged as well as maintaining the geometrythroughout the process of preparing a root canal.

SUMMARY OF THE INVENTION

The present invention seeks to improve upon prior endodontic instrumentsby providing an improved process for manufacturing endodonticinstruments. In one aspect, the present invention provides a method formanufacturing a nonlinear superelastic file comprising the steps of:providing a superelastic file having a shaft and a file axis; providinga fixture including a file groove being defined by one or moredisplacement members, the file groove configured for receiving theshaft; inserting at least a portion of the shaft into the fixture alongthe file groove, the portion of the shaft including a first portion ofthe shaft; contacting the first portion of the shaft with a firstdisplacement member of the one or more displacement members such thatthe first portion of the shaft is displaced from the file axis therebyforming a first offset portion of the shaft; heating the portion of theshaft while inserted in the fixture to a temperature of at least about300° C. for a time period of at least about 1 minute to shape-set theportion of the shaft thereby forming a shape-set nonlinear file

In another aspect, the present invention contemplates a method formanufacturing a nonlinear superelastic file comprising the steps of:providing a superelastic linear file having a shaft and a file axis;providing a fixture including an inner member and an cover member, atleast one of the inner member and the cover member having a file groovebeing defined by one or more displacement members, the file groove beingconfigured for receiving the shaft and at least a portion of the filegroove extending along a predetermined nonlinear file path in aspiral-like manner; inserting at least a portion of the shaft into thefixture along the file groove, the portion of the shaft including afirst portion of the shaft; contacting the first portion of the shaftwith a first displacement member of the one or more displacement memberssuch that the first portion of the shaft is displaced from the file axisthereby forming a first offset portion of the shaft, the first offsetportion of the shaft and the file axis defining a first plane;contacting a second portion of the portion of the shaft with a seconddisplacement member of the one or more displacement members such thatthe second portion of the shaft is displaced from the file axis therebyforming a second offset portion of the shaft, the second offset portionof the shaft defines a second plane different from the first plane; andheating the portion of the shaft to a temperature of at least about 300°C. for a time period of at least about 5 minutes to shape-set theportion of the shaft thereby forming a shape-set nonlinear file.

In another aspect, the present invention contemplates a nonlinear filecomprising a file axis and a shaft having a proximal end and a tip witha working portion therebetween; the shaft having at least one offsetportion including a first offset portion, the first offset portion beingdisplaced from the file axis such that the first offset portion and thefile axis define a first plane.

In another aspect, the present invention contemplates a nonlinear filecomprising a file axis and a shaft having a proximal end and a tip witha working portion therebetween; the shaft having at least one offsetportion including a first offset portion and a second offset portion,each of the first offset portion and the second offset portion beingdisplaced from the file axis such that the first offset portion of theshaft and the file axis define a first plane and the second offsetportion defines a second plane different from the first plane.

In another aspect, the present invention contemplates a method forcleaning and shaping a root canal of a tooth, the tooth including atooth pulp chamber and a dentin layer generally surrounding the toothpulp chamber, the root canal having a proximal portion adjacent thetooth pulp chamber and tapering to an apex portion adjacent the tooth,the dentin/pulp interface generally defining the root canal wall,comprising the steps of: inserting into the root canal the shape-setnonlinear file including a file axis and a shaft having a proximal endand a tip with a working portion therebetween, the shaft having at leastone offset portion including a first offset portion, the first offsetportion being displaced from the file axis such that the first offsetportion and the file axis define a first plane; rotating, reciprocating,or oscillating vertically or any combination thereof and axiallyadvancing the nonlinear file within the root canal; contacting the firstoffset portion with the root canal wall such that the first offsetportion collapses to minimize removal of the dentin layer therebyexpanding a second offset portion to increase surface contact with theremaining pulp chamber for removal thereof.

In another aspect, the present invention contemplates a method forcleaning and shaping a root canal of a tooth, the tooth including atooth pulp chamber and a dentin layer generally surrounding the toothpulp chamber, the root canal having a proximal portion adjacent thetooth pulp chamber and tapering to an apex portion adjacent the tooth,the dentin/pulp interface generally defining the root canal wall,comprising the steps of: inserting into the root canal the shape-setnonlinear file including a file axis and a shaft having a proximal endand a tip with a working portion therebetween, the shaft having at leastone offset portion including a first offset portion and a second offsetportion, each of the first offset portion and the second offset portionbeing displaced from the file axis such that the first offset portion ofthe shaft and the file axis define a first plane and the second offsetportion defines a second plane different from the first plane; rotating,reciprocating, oscillating vertically, or any combination thereof andaxially advancing the nonlinear file within the root canal; contacting afirst portion of the continual offset portion with the root canal wallsuch that the first offset portion collapses to minimize removal of thedentin layer thereby expanding a second portion of the continual offsetportion to increase surface contact with the remaining pulp chamber forremoval thereof.

In another aspect, the present invention contemplates a method formanufacturing a non-superelastic file comprising the steps of: providinga superelastic file having an austenite finish temperature; and heatingat least a portion of the superelastic file to a temperature from about300° C. to about 600° C. for a period of time from about 5 minutes toabout 120 minutes to alter the austenite finish temperature therebyforming the non-superelastic file; wherein the altered austenite finishtemperature of the non-superelastic file is from about 20° C. to about40° C.

In yet another aspect, any of the aspects of the present invention maybe further characterized by one or any combination of the followingfeatures: wherein the heating step, the portion of the shaft is heatedto a temperature from about 300° C. to about 650° C. for a time periodfrom about 1 minute to about 45 minute to shape-set the portion of theshaft thereby forming the shape-set nonlinear file; wherein the heatingstep, the portion of the shaft is heated to a temperature from about350° C. to about 600° C. for a time period from about 3 minutes to about30 minutes to shape-set the portion of the shaft thereby forming theshape-set nonlinear file; wherein the heating step, the portion of theshaft is heated to a temperature from about 450° C. to about 550° C. fora time period from about 5 minutes to about 20 minutes to shape-set theportion of the shaft thereby forming the shape-set nonlinear file;further comprising the step of cooling the portion of the shaft to formthe shape-set nonlinear file and heating at least a portion of thecooled shape-set nonlinear file to a temperature from about 300° C. toabout 600° C. for a period of time from about 20 minutes to about 120minutes to alter the austenite finish temperature thereby forming ashape-set non-superelastic nonlinear file, and wherein the alteredaustenite finish temperature of the shape-set non-superelastic nonlinearfile is from about 20° C. to about 40° C.; further comprising the stepof cooling the portion of the shaft to form the shape-set nonlinear fileand heating at least a portion of the cooled shape-set nonlinear file toa temperature from about 400° C. to about 500° C. for a period of timefrom about 40 minutes to about 70 minutes to alter the austenite finishtemperature thereby forming a shape-set non-superelastic nonlinear file,and wherein the altered austenite finish temperature of the shape-setnon-superelastic nonlinear file is from about 20° C. to about 40° C.;further comprising the step of contacting a second portion of the shaftwith a second displacement member of the one or more displacementmembers such that the second portion of the shaft is displaced from thefile axis thereby forming a second offset portion of the shaft, whereinthe first offset portion of the shaft and the file axis define a firstplane and the second offset portion defines a second plane differentfrom the first plane; wherein the one or more displacement membersfurther includes a second displacement member and the file groove isfurther defined by a pair of guiding members for receiving a guideportion of the shaft therebetween, the pair of guiding members beingconfigured for maintaining the guide portion of the shaft from beingdisplaced from the file axis while the first displacement memberdisplaces the first portion of the shaft away from the file axis and thesecond displacement member displaces a portion of the shaft towards thefile axis; wherein the first displacement member, the seconddisplacement member, and the pair of guiding members defining the filegroove form a predetermined curved nonlinear file path that orientatesthe portion of the shaft into a generally C-shaped profile; wherein theone or more displacement members further includes a second displacementmember and a third displacement member, and the file groove is furtherdefined by a pair of guiding members for receiving a guide portion ofthe shaft therebetween, the pair of guiding members being configured formaintaining the guide portion of the shaft from being displaced from thefile axis while the first displacement member displaces the firstportion of the shaft away from the file axis, the second displacementmember displaces a second portion of the shaft away from the firstdisplacement member and back through the file axis, and the thirddisplacement member displaces the a third portion of the shaft from thesecond displacement member and towards the file axis; wherein the firstdisplacement member, the second displacement member, the thirddisplacement member, and the pair of guiding members that define thefile groove form a predetermined curved nonlinear file path having atleast two arcuate portions that orientate the portion of the shaft intoa generally S-shaped profile; wherein the file groove defines a firstpredetermined nonlinear file path and at least one of the one or moredisplacement members are movable relative to the file axis so that thefile groove is a variable file groove configured to define the firstpredetermined nonlinear file path or a second predetermined nonlinearfile path that is different from the first predetermined nonlinear filepath; wherein the one or more displacement members includes at least twodisplacement member that are movable either independently orsimultaneously relative to the file axis so that the file groove is avariable file groove configured to define the first predeterminednonlinear file path or a second predetermined nonlinear file path thatis different from the first predetermined nonlinear file path; whereinthe file groove extends along the inner member, the cover member, or aportion of both the inner member and the cover member in the spiral-likemanner; wherein the cover member at least partially covers the portionof the file groove extending in a spiral-like manner so that uponinserting the portion of the shaft into the fixture, the portion of theshaft is maintained within the file groove; wherein the inner memberincludes a fixture axis that is generally co-linear with the file axissuch that the portion of the file groove extending in a spiral-likemanner is continually displaced from the fixture axis therebycontinually displacing a corresponding portion of the shaft extendingtherein from the file axis; wherein the shaft includes a shaft lengthand at least about 50% of the shaft length is continually displacedradially from the file axis; wherein the first offset portion extendsbetween a first shaft portion and a second shaft portion defining acurve having a crest therebetween, the crest being displaced from thefirst shaft portion and the second shaft portion, each of the firstshaft portion and the second shaft portion being generally located aboutthe file axis so that the nonlinear file includes a generally C-shapedprofile; wherein the at least one offset portion further includes asecond offset portion displaced from the file axis, the first offsetportion extends between a first shaft port and a second shaft portiondefining a first curve having a first crest therebetween and the secondoffset portion extends between the second shaft portion and a thirdshaft portion defining a second curve having a second cresttherebetween, each of the first shaft portion and the second shaftportion being generally located about the file axis so that thenonlinear file includes a generally S-shaped profile; wherein the firstoffset portion and the second offset portion define a continual offsetportion that extends in a spiral-like manner being continually displacedradially from the file axis; wherein the shaft includes a shaft lengthand the continual offset portion extends in the spiral-like manner alongat least about 50% of the shaft length; wherein the continual offsetportion extends between a first portion of the shaft and a secondportion of the shaft, the second portion of the shaft being furtherdisplaced from the file axis than the first portion of the shaft and thesecond portion of the shaft being located closer to the tip than thefirst portion of the shaft; wherein a distance between the shaft and thefile axis continually increases from the first portion of the shaft tothe second portion of the shaft; wherein the at least one offset portionduring rotation of the nonlinear file forms a canal opening having anoverall perimeter greater than the overall perimeter of a canal openingformed by a conventional linear file having a similar file taper and asimilar shaft length at a same depth of the root canal during theshaping and cleaning thereof; wherein the at least one offset portionduring rotation of the nonlinear file forms a canal opening having anoverall perimeter greater than the overall perimeter of a canal openingformed by a conventional linear file having a similar file taper and asimilar shaft length at a same depth of the root canal during theshaping and cleaning thereof; wherein the at least one offset portionduring rotation of the nonlinear file forms a canal opening having anoverall perimeter less than the overall perimeter of a canal openingformed by a conventional linear file having a conventional file taperand a similar shaft length at a same depth of the root canal during theshaping and cleaning thereof; wherein the at least one offset portionincludes a first offset portion and a second offset portion, the firstoffset portion during rotation of the nonlinear file forms a canalopening having an overall perimeter greater than the overall perimeterof a canal opening formed by a conventional linear file having a similarfile taper and a similar shaft length at a same depth of the root canalduring the shaping and cleaning thereof, and second offset portionduring rotation of the nonlinear file forms a canal opening having anoverall perimeter less than the overall perimeter of a canal openingformed by a conventional linear file having a conventional file taperand a similar shaft length at a same depth of the root canal during theshaping and cleaning thereof; wherein heating the step, the temperatureis from about 300° C. to about 600° C. for a period of time from about 5minutes to about 120 minutes to alter the austenite finish temperaturethereby forming the non-superelastic file, and wherein the alteredaustenite finish temperature of the non-superelastic file is from about20° C. to about 38° C.; wherein the heating step, the temperature isfrom about 400° C. to about 500° C. for a period of time from about 40minutes to about 70 minutes to alter the austenite finish temperaturethereby forming the non-superelastic file, and wherein the alteredaustenite finish temperature of the non-superelastic file is from about20° C. to about 35° C.; further comprising the step of cooling theportion of the non-superelastic file and heating at least a portion ofthe cooled non-superelastic file to a temperature from about 300° C. toabout 650° C. for a time period from about 1 minute to about 45 minuteto shape-set the portion of the shaft thereby forming a shape-setnon-superelastic nonlinear file; further comprising the step of coolingthe portion of the non-superelastic file and heating at least a portionof the cooled non-superelastic file to a temperature from about 350° C.to about 600° C. for a time period from about 3 minutes to about 30minutes to shape-set the portion of the shaft thereby forming ashape-set non-superelastic nonlinear file; wherein the non-superelasticwire includes a shape memory alloy; wherein the shape memory alloyincludes nickel and titanium; wherein the shape memory alloy is anickel-titanium based binary alloy; wherein the shape memory alloy is anickel-titanium based ternary alloy; wherein the nickel-titanium basedternary alloy of the formula Ni—Ti—X wherein X is Co, Cr, Fe, or Nb;wherein the shape memory alloy includes a copper based alloy, an ironbased alloy or a combination of both; wherein the shape memory alloy isthe copper based alloy includes CuZnAl or CuAlNi; wherein the shapememory alloy is the iron based alloy includes FeNiAl, FeNiCo, FeMnSiCrNior FeNiCoAlTaB; further comprising the step of providing a handle andattaching the handle to a portion of the nonlinear rotary file; whereinthe handle is located distally from the flute(s), groove(s), or anycombination thereof; further comprising the step of providing a handleand attaching the handle to a portion of the nonlinear hand file; or anycombination thereof.

It should be appreciated that the above referenced aspects and examplesare non-limiting as others exist with the present invention, as shownand described herein. For example, any of the above mentioned aspects orfeatures of the invention may be combined to form other uniqueconfigurations, as described herein, demonstrated in the drawings, orotherwise.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1A-1C are elevational views of typical endodontic instrumentshaving various degrees of file taper.

FIG. 2 is an elevational cross-sectional view of a molar human toothshowing the root system and the coronal area penetrated by a hole toexpose the root canal system.

FIG. 3 is a Differential Scanning calorimetry (DSC) curve showing phasetransformation temperatures of the present invention.

FIG. 4 is a diagrammatic representation of a bending test apparatus tomeasure stiffness of root canal instruments as described in ISO3630-1:2008, Dentistry—Root-canal instrument—Part I: Generalrequirements and test methods).

FIG. 5 is a chart showing the testing results of the test method shownin FIG. 4.

FIG. 6 is diagrammatic representation of a test apparatus used to testthe bending-rotation fatigue resistance of endodontic instruments.

FIG. 7 is a schematic graph of the relationship between different NiTimicrostructures (austenic vs. martensitic) and average cyclic fatiguelife of endodontic rotary instruments made of NiTi shape memory alloy.

FIG. 8 is a diagrammatic representation of a torque test apparatus usedto measure the resistance to fracture by twisting and angular deflectionas described in ISO 3630-1:2008, Dentistry—Root-canal instrument—Part I:General requirements and test methods).

FIG. 9 is a schematic graph of the relationship between differentmetallurgical structures and average “maximum degree of rotation tofracture” of endodontic rotary instruments made of NiTi shape memoryalloy.

FIG. 10 is a schematic graph of the relationship between differentmetallurgical structures and average “peak torque” of endodontic rotaryinstruments made of NiTi shape memory alloy.

FIG. 11 shows a root with a highly curved canal and a complex canalshape.

FIGS. 12A-12C show various embodiments of the present inventionincluding shape-set nonlinear two dimensional files.

FIG. 13 shows another embodiment of the present invention including afixture for forming the shape-set nonlinear file of FIG. 12A.

FIG. 14 shows another embodiment of the present invention including avariable fixture for forming the shape-set nonlinear files of FIGS.12A-12C.

FIGS. 15A-16C show another embodiment of the present invention includinga fixture for forming multiple shape-set nonlinear files.

FIG. 17 shows a longitudinal cross-section of a root canal using ashape-set nonlinear file of the present invention during a toothpreparation.

FIG. 18 shows a longitudinal cross-section of a tooth preparation usinga conventional linear file during a rotation thereof in the root canalof FIG. 17.

FIG. 19A shows a longitudinal cross-section of a tooth preparation usingthe shape-set nonlinear file of FIG. 17 during rotation thereof in theroot canal of FIG. 17.

FIG. 19B show the tooth preparation of FIG. 19A taken along thetransverse cross-section A-A.

FIG. 20 shows another embodiment of the present invention includingshape-set nonlinear three dimensional file.

FIGS. 21-23 show another embodiment of the present invention including afixture for forming the shape-set nonlinear file of FIG. 20.

DETAILED DESCRIPTION OF INVENTION:

Superelastic materials are typically metal alloys which return to theiroriginal shape after substantial deformation. Examples of efforts in theart towards superelastic materials are found in U.S. Pat. No. 6,149,501,which is herein incorporated by reference for all purposes.

Superelasticity may be generally defined as a complete rebound to theoriginal position after deformation. However, in the industry, it isappreciated that less than 0.5% permanent set (after stretch to 6%elongation) would be acceptable. For example, if the file does notreverse to its original position, it may no longer be considered asuperelastic Shape Memory Alloy (SMA) (e.g., it may not be considered asuperelastic SMA if it does not return to a generally original positionsuch as a generally straight position). Superelastic alloys such asnickel titanium (NiTi) or otherwise can withstand several times morestrain than conventional materials, such as stainless steel, withoutbecoming plastically deformed.

This invention relates to dental instruments in general. Specifically,this invention relates to endodontic instruments for use in root canalcleaning and shaping procedures. The present invention provides aninnovation of endodontic instrument that is made of shape memory alloys(SMA) such as Nickel-Titanium (NiTi) based systems, Cu based systems Febased systems, or any combination thereof (e.g., materials selected froma group consisting of near-equiatomic Ni—Ti, Ni—Ti—Nb alloys, Ni—Ti—Fealloys, Ni—Ti—Cu alloys, beta-phase titanium and combinations thereof).

In a first embodiment, the present invention provides a method forforming an endodontic instrument made of shape memory alloys in anon-superelastic martensitic state. The non-superelastic file mayprovide more flexibility and increased fatigue resistance through anoptimized microstructure while effectively shaping and cleaning rootcanals.

In another embodiment, the present invention includes an endodonticinstrument made of a shape memory alloy shape-set in a predeterminednonlinear design, and methods for manufacturing thereof. The shape-setnonlinear superelastic file may provide increased ability to changeshape and geometry by either expanding or collapsing while shaping andcleaning canals.

Referring to the drawings, FIGS. 1A-1C show elevational views of typicaldental instruments generally indicated by the numeral 10A, 10B, and 10Cused for shaping and/or cleaning root canals of a tooth. FIG. 2 showsthe endodontic instrument of FIG. 1A being positioned within one of theroot canals of a tooth. While in this position, the endodonticinstrument is typically subjected to substantial cyclic bending andtorsional stresses as it is used in the process of cleaning and shapinga root canal.

An endodontic file is a good example of a product that is subject tofatigue failure and wherein a failure of the product is a serious event.The endodontic files 10A, 10B, and 10C, each generally have an elongatedshaft portion 12 with a proximal end 14 to which may be secured to ahandle 16 (normally made of plastic) as shown in FIG. 1A, or which maybe secured to an attachment end 17 for attachment to a handpiece (e.g.,a rotary device) as shown in FIGS. 1B and 1C. The file shaft portion 12(e.g., working portion) is configured to be inserted into and removedfrom the root canal of the tooth. As shown in FIGS. 1A-1C, endodonticfiles may be formed having different lengths and/or various file tapers.More particularly, the distal end 18 of files 10A and 10C have a reduceddiameter compared to the proximal end 14 and is typically pointed. Forexample, it is appreciated that the diameter may be reduced so that theshaft portion 12 includes greater than about 0% taper, preferably fromabout 1% to about 10% taper, and most preferably from about 2% to about6% taper. However, as shown in FIG. 1B, it is further appreciated thatthe shaft portion 12 may include about 0% taper while still having areduced diameter at the distal end 18 (e.g., tip) of file 10B.

As defined herein, the file length refers to the length of the shaftfrom the proximal end to the tip of the file in a normal state relativeto the file axis (e.g., the distance along the file axis from theproximal end to the tip of the file). Shaft length refers to the actuallength of the shaft from the proximal end to the tip of the file in anormal state (e.g., the distance along the shaft from the proximal endto the tip of the file). For example, a nonlinear file will generallyhave a shaft length that may be greater than its file length in a normalstate (due to the curved portions) while a linear file will generallyhave a shaft length that may be generally the same as its file length ina normal state.

FIG. 2 illustrates a typical tooth 20, in this case is a molar, havingplural roots 22A and 22B, which in a healthy tooth are filled withpulpal material 21A being generally surrounded by dentin 21B with adentin/pulpal interface therebetween 21C. The dentin/pulpal interfacegenerally defining the root canals 22A and 22B. When this pulpalmaterial becomes infected the tooth is deemed to be abscessed and thepressure generated by the abscess causes an intense tooth ache.Endodontists treat this malady by performing a root canal procedure inwhich the root canals 22A and 22B are cleaned of pulpal material. To dothat a hole 24 is drilled in the tooth crown 26 to provide access to theroot canals 22A and 22B. An endodontist inserts a file 10 through thehole 24 into the canals to facilitate removal of the pulpal material.FIG. 2 shows the tooth free of pulpal material.

The endodontic tools 10A-10C of FIGS. 1A-1C and 2 are, as previouslystated, an example of a type of instrument that requires a high degreeof flexibility along with resistance to cyclic fatigue and torsionalloading. It can be seen that if in the process of treating a root canal22A a lower portion of dental file 10A-10C is broken off in the canalthen the endodontist is faced with a serious problem, particularly ifthe root canal beneath the broken off portion has not been thoroughlycleaned of infected pulpal material. It is therefore important inmanufacturing endodontic files to provide files that have greatflexibility and at the same time high fatigue resistance.

It is important to understand that the endodontic file shown in FIGS.1A-1C and 2 and the use thereof is by example only to establish the needfor structural material for use in constructing the shaft portion 12 toachieve high flexibility and, most importantly, high fatigue resistance.It is important to understand that the invention herein does not concernendodontic files per se but concerns methods of treating material, andparticularly treating an alloy to produce a metal having idealcharacteristics for use in the manufacture of endodontic tools and othersimilar medical and non-medical devices that require high fatigueresistance.

Non-superelastic Instrument and Methods of Manufacturing Thereof

The present invention includes an instrument (e.g., endodontic file)made of shape memory alloys in their martensitic state, and methods formanufacturing thereof. The martensitic state of the non-superelasticfile may allow for more flexibility and increased fatigue resistancethrough an optimized microstructure while effectively shaping andcleaning root canals.

A Shape Memory Alloy is an alloy that “remembers” its original shapethat is capable of returning to its predeformed shape by heating. Moreparticularly, a desirable characteristic of the shape memory alloy(e.g., NiTi based alloy) in the “shape memory” form (or martensiticstate), may be the temperature above which the bent materials willbecome straight again. For example, you may need to heat the materialabove its austenite finish temperature (A_(f)) to achieve itspredeformed shape (e.g., a completely straight position).

Shape memory alloys may be considered superelastic at this “application”temperature (e.g., temperature above A_(f)) once they are capable ofreturning to their original shape (e.g., predeformed shape such as itsoriginal straight position, original curved position or otherwise).Furthermore, cooling (e.g., using dry ice, liquid nitrogen, orotherwise) the SMA material in a deformed shape (e.g., bending thematerial), the material may remain in the deformed position. Once theSMA material is removed from the cold environment, the material willreturn to a straight form at room temperature.

Desirably, martensite may be the primary metallurgical phase in thepresent invention instrument, which is different from standard NiTirotary instruments with predominant austenite structure at ambienttemperature. It is appreciated that the martensitic phase may be presentin an amount greater than 0%, preferably greater than about 25%, andpreferably greater than about 50% at ambient temperature. Furthermore,the martensitic phase may be present in an amount between about 25% andabout 100%, preferably between about 50% and about 100%, and mostpreferably between about 75% and about 100% at ambient temperature. Itis further appreciated that the martensitic phase may be the only phasepresent (e.g., M phase) at ambient temperature, though not required.

Optionally, the austenite phase may be present at ambient temperature.When included, the austenite phase may be present as an inner region(e.g., core region of the instrument) that may be generally surroundedby the martensite phase as an exterior layer (e.g., surface layer of theinstrument) at ambient temperature. It is also appreciated that themartensite phase and the austenite phase, when included) may be presentdispersed variably throughout the instrument at ambient temperature.

It is believed that typical superelastic NiTi rotary instruments haveaustenite finish temperatures lower than ambient temperature (25° C.).Desirably, in one embodiment of the present invention, anon-superelastic file may be provided having a higher austenite finishtemperature (the final A_(f) temperature measured by DifferentialScanning calorimetry) than the ambient temperature (25° C.). Moreparticularly, the austenite finish temperature may at least about 3° C.,at least about 5° C., at least about 7° C., preferably at least about10° C., and more preferably at least about 12° C. higher than theambient temperature (25° C.). Furthermore, it is appreciated that theaustenite finish temperature may less about 60° C., less than about 50°C., preferably less than about 40° C., and more preferably less than 38°C. For example, the austenite finishing temperature may range from about28° C. to about 60° C., from about 30° C. to about 50° C., preferablyfrom about 32° C. to about 40° C. and more preferably from about 35° C.to about 38° C. or from about 37° C. to about 40° C.

Due to higher austenite finish temperature, the present inventioninstrument may not completely return to the original shape (e.g.,straight state) after being bent or deflected. This is in contrast tothe conventional superelastic NiTi rotary instruments having an, whichmay return to its original shape (e.g., straight state) via reversephase transformation (martensite-to-austenite) upon unloading due to theA_(f) of the convention instrument being lower than ambient temperature.

Endodontic instruments made of NiTi shape memory alloys in martensiticstate (e.g., non-superelastic state may have increased overallperformance relative to their austenitic counterparts (e.g.,conventional superelastic NiTi instruments), especially on flexibilityand resistance against cyclic fatigue.

The strength and cutting efficiency of endodontic instruments may beimproved by providing ternary shape memory alloys NiTiX (X: Co, Cr, Fe,Nb, etc) based on the mechanism of alloy strengthening in anon-superelastic state.

Specifically, in one embodiment of the present invention,non-superelastic instrument has improved and desired characteristics forsuccessful root canal surgery, including higher flexibility and lowerstiffness, improved resistance to cyclic fatigue, higher degree ofrotation against torsional fracture, more conforming to the shape ofhighly curved canals (less likely for ledging or perforation), minimumpossibility of instrument separation, and/or otherwise in comparisonagainst conventional endodontic instruments formed of a shape memoryalloy in superelastic condition (e.g., in a fully austenitic phase inmicrostructure) and/or being generally linearly shaped.

In one embodiment of the present invention, endodontic instruments madeof shape memory alloys (e.g., NiTi) in their martensitic state(non-superelastic state) may be fabricated by the one of the followingmethod described herein.

One method (e.g., Method 1) of forming a non-superelastic file maycomprise the steps of post heat treating a file (e.g., the flutes of afile shaft) after being manufactured according to a predeterminedmechanical design (i.e., after the flute grinding process in a typicalfile manufacturing process).

This method for forming the non-superelastic instrument may include apost heat treatment having a heating step at temperature of at leastabout 300° C., at least about 350° C., preferably at least about 400°C., and more preferably at least about 450° C. Furthermore, itappreciated that the heating step may include heating to a temperatureless than about 650° C., less than about 600° C., preferably less than550° C., and more preferably less 525° C. For example, the heating stepmay include heating to a temperature ranging from about 300° C. to about650° C. (e.g., from about 300° C. to about 600° C.), from about 350° C.to about 600° C. (e.g., from about 370° C. to about 510° C.), preferablyfrom about 400° C. to about 550° C., and more preferably from about 450°C. to about 525° C.

The heat treatment process for forming a shape-set nonlinear file mayinclude heating a superelastic file to a temperature for a time periodof at least about 1 minute, preferably at least about 3 minutes, andmore preferably at least about 5 minutes to shape-set the superelasticfile thereby forming a shape-set nonlinear file. Furthermore, it isappreciated that the heat treatment process for forming a shape-setnonlinear file may include heating a superelastic file to a temperaturefor a time period of less than about 45 minutes, preferably less thanabout 30 minutes, and more preferably less than about 20 minutes. Forexample, the heat treatment process for forming a shape-set nonlinearfile may include heating a superelastic file to a temperature for a timeperiod from about 1 minute to about 45 minutes, preferably from about 3minutes to about 30 minutes, and more preferably from about 5 minutes toabout 20 minutes.

The heat treatment process for forming a non-superelastic instrument mayinclude heating the superelastic instrument for a time period of atleast about 5 minutes, preferably at least about 30 minutes, and morepreferably at least about 40 minutes. Furthermore, it is appreciatedthat the heat treatment process for forming a non-superelasticinstrument may include heating the superelastic instrument for a timeperiod less than about 200 minutes, preferably less than about 120minutes, and more preferably less than about 90 minutes. For example,the heat treatment process for forming a non-superelastic instrument mayinclude heating the superelastic instrument for a time period from about5 minutes to about 200 minutes (e.g., from about 5 minutes to about 120minutes or from about 10 minutes to about 60 minutes), preferably fromabout 30 minutes to about 120 minutes, and more preferably from about 40minutes to about 90 minutes (e.g., from about 40 minutes to about 70minutes). Typically the heating step occurs under a controlledatmosphere. Preferably, the controlled atmosphere may include (e.g.,consist) a reactive gas (e.g., oxygen, air, or otherwise), though notrequired. When included, the reactive gas such as air reacts with thesurface of the instrument so that an oxidation layer (e.g., blueoxidation layer) may be formed. Optionally, the controlled atmospheremay include (e.g., consist) a nonreactive gas (e.g., helium neon, argon,krypton, xenon, and/or radon).

As mentioned above, the post heat treatment step (e.g., additionalthermal process) of Method 1 may be employed after the traditional NiTirotary file manufacturing process (e.g., grinding of the flutes) usingregular superelastic NiTi wires. More particularly, an additionalthermal process may be performed after the flute grinding process (of atraditional NiTi rotary file manufacturing process) so that a post heattreatment occurs at a temperature range of 370˜510° C. for a period oftime (typically 10-60 min, depending on file size, taper, and/or filedesign requirement). It is appreciated that Nickel-rich precipitates mayform during this post heat treatment process. Correspondingly, the ratioof Ti/Ni may increase and a desired austenite finish temperature (thefinal A_(f) temperature) will be achieved. After post heat treatment, afile handle (e.g., brass, steel, the like, or otherwise may beinstalled.

In another embodiment of the present invention, endodontic instrumentsmade of shape memory alloys (e.g., NiTi) in their martensitic state(non-superelastic state) may be fabricated by the one of the followingmethod described herein.

Another method (e.g., Method 2) of forming a non-superelastic instrumentmay comprise the steps of post heat treating a file (e.g., the flutes ofa file shaft) during the manufacturing of the superelastic instrument(e.g., during the grinding process) so that the temperature of theinstrument may be higher than the austenite finish temperature.

This method may include (concurrent) heat treatment to SMA wire(s) priorto and/or during the grinding process so that grinding may be directlyapplied to martensitic SMA (e.g., NiTi) wires. However, it isappreciated that martensitic SMA (e.g., NiTi) wires may be heated to atemperature higher than their austenite finish temperatures duringgrinding process. Therefore, martensitic SMA (e.g., NiTi) wires maytemporarily transform to superelastic wires (a stiffer structure in theaustenitic state) to facilitate the grinding process during theinstrument manufacturing process. Advantageously, the instruments maytransform back to martensitic state at ambient temperature after theflute grinding process.

For example, in one embodiment, Method 2 may include a non-superelasticwire. The non-superelastic wire may be provided in a manufacturingenvironment with a temperature higher than its austenite finishtemperature (at least 25 degree C.). The non-superelastic wire maytransform to superelastic at this higher temperature). Then formingflutes and grooves about the file to form the (semi finished) rotaryfile. Furthermore, the (semi-finished) rotary file may be removed fromthe manufacturing environment with higher (warmer) temperature. Thenon-superelastic wire may form a non-superelastic rotary file at (orabove) room temperature about 25° C.

It is believed that a shape memory alloy like NiTi alloy generally hastwo primary crystallographic structures, which are temperaturedependent, (i.e. austenite at higher temperatures and martensite atlower temperatures). This temperature-dependent diffusionless phasetransformation will be from martensite (M) to austenite (A) (e.g., M→A)during heating. Furthermore, it is appreciated that a reversetransformation from austenite to martensite (A→M) may be initiated uponcooling. In another embodiment, an intermediate phase (R) may appearduring phase transformations i.e., either (M)→(R)→(A) during heating or(A)→(R)→(M) during cooling. The R-phase being defined as an intermediatephase between the austenite phase (A) and the martensite phase (M).However, it is appreciated that during transformation both themartensite phase and the austenite phase may be present in addition tothe optional R-Phase.

The phase transformation temperatures may be determined usingDifferential Scanning calorimetry (DSC) curve as shown in the FIG. 3.For example, A_(f) (austenite finish temperature) may be obtained fromthe graphical intersection of the baseline with the extension of theline of maximum inclination of the peak of the heating curve. The finalA_(f) temperature of endodontic instrument made of shape memory alloyswas measured in DSC test with general accordance with ASTM StandardF2004-05 “Standard Test Method for Transformation Temperature ofNickel-Titanium Alloys by Thermal Analysis”, such as using heating orcooling rates of 10±0.5° C./min with purge gas of either helium ornitrogen, except that the fluted segment cut from rotary instrumentsample does not need any further thermal annealing process (i.e., 850°C. for 30 min in vacuum), which is typically used for measuring ingottransition temperatures at fully austenitic condition.

More particularly, FIG. 3 provides a schematic differential scanningcalorimetry (DSC) curve of a shape memory alloy (nickel-titanium) inboth heating and cooling cycle. A_(f) (austenite finish temperature),A_(s) (austenite start temperature), M_(f) (martensite finishtemperature), M_(s) (martensite start temperature) may be obtained fromthe graphical intersection of the baseline with the extension of theline of maximum inclination of the appropriate peak of the curve. Themartensite start temperature (M_(s)) being defined as the temperature atwhich the transformation from austenite to martensite begins on cooling.The martensite finish temperature (M_(f)): the temperature at which thetransformation from austenite to martensite finishes on cooling;Austenite start temperature (A_(s)) being defined as the temperature atwhich the transformation from martensite to austenite begins on heating.The austenite finish temperature, (A_(f)) being defined as thetemperature at which the transformation from martensite to austenitefinishes on heating.

Experimental results have shown that the present invention (e.g., anadditional heat treatment process for the formation of endodonticinstruments) results in desirable characteristics. More particularly,the endodontic instruments made of NiTi shape memory alloys in theirmartensitic state may include one or more of the following desiredcharacteristics for root canal surgery: (1) higher flexibility and lowerstiffness; (2) improved resistance to cyclic fatigue; (3) higher degreeof rotation against torsional fracture; (4) more conforming to thecurved canal profile, especially for the root canals with considerablecurvature and complex profile, and combinations thereof relative toconventional superelastic instruments of similar shape and/or size.

For example in order to compare the impact of different metallurgicalstructures (austenite vs. martensite), two different instrument sampleswere made utilizing different thermal processing in order to representtwo distinct structures: (1) superelastic instruments with fullyaustenitic microstructure and (2) instrument with martensiticmicrostructure. In one specific example based on the DSC measurements,the final A_(f) temperatures for these two instruments with distinctmicrostructures are 17° C. (for instrument (1) having the fullyaustenitic microstructure) and 37° C. (for instrument (2) having themartensitic microstructure), respectively. All instrument samples wereof the same geometric design. All tests were performed at ambienttemperature ˜23° C.

I. Stiffness test: Showing higher flexibility and lower stiffness onendodontic instruments made of NiTi shape memory alloys in theirmartensitic state as compared to NiTi shape memory alloys in theiraustenitic state.

In this stiffness test, the stiffness of all sample instruments havebeen determined by twisting the root canal instrument through 45° usingthe testing apparatus as shown in FIG. 4.

As shown in the testing results in FIG. 5, the rotary instruments withmartensitic microstructure at ambient temperature exhibit higherflexibility and lower stiffness (as indicated by lower peak torque onbending). In comparison with the regular superelastic instrument withthe final A_(f) temperature 17° C., the instruments with the martensiticmicrostructure (the final A_(f) temperature ˜37° C.) have shown 23%reduction in bending torque. The lower stiffness of martensiticinstruments can be attributed to the lower Young's modulus of martensite(about 30˜40 GPa) whereas austenite is about 80˜90 GPa at ambienttemperature.

FIG. 5 shows a schematic graph of the relationship between differentNiTi microstructures (regular superelastic or austenic vs. martensitic)and average peak torque of endodontic rotary instruments made of NiTishape memory alloy in bending test. As can gleemed from FIG. 5, lowerpeak torque (less stiff or more flexible) may be achieved by amartensitic microstructure, which is indicated by the higher A_(f)(austenite finish temperatures). In one embodiment, the ratio of peaktorque (flexibility/stiffness) of the non-superelastic rotary file tothe superelastic rotary file may be less than about 1:0.9 (e.g., lessthan about 1:0.85, and preferably less than about 1:0.8) at about 25° C.

II. Bending rotation fatigue test: Showing higher fatigue life onendodontic instruments made of NiTi shape memory alloys in theirmartensitic state

In this bending test, the fatigue resistance of all sample instrumentsis measured by bending rotation fatigue tester as shown in FIG. 6.According to the testing results shown in FIG. 7, the average cyclicfatigue life of instruments in the martensitic state (A_(f) temperature37° C.) is about 3 times of its austenitic counterpart (A_(f)temperature 17° C.).

As shown in the diagrammatic representation of FIG. 6, a test apparatusmay be used to test the bending-rotation fatigue resistance ofendodontic instruments. The endodontic rotary instrument sample may begenerally rotating freely within a simulated stainless steel canal withcontrolled radius and curvature.

The schematic graph of FIG. 7 shows the relationship between differentNiTi microstructures (austenic vs. martensitic) and average cyclicfatigue life of endodontic rotary instruments made of NiTi shape memoryalloy. More particularly, FIG. 7 shows that longer cyclic fatigue lifemay be achieved by a martensitic microstructure at ambient temperature,which is indicated by the higher A_(f) (austenite finish temperature).It is appreciated that the ratio of total number of cycles to fatigue(resistance against cyclic-fatigue) of the non-superelastic rotary fileto the superelastic rotary file may be at least about 1.25:1 (e.g., atleast about 1.5:1, preferably at least about 2:1) at about 25° C.

III. Torque test: Showing higher degree of rotation against torsionalfracture on endodontic instruments made of NiTi shape memory alloys intheir martensitic state

In this torque test, the resistance to fracture of root canalinstruments is performed to measure the average maximum degree ofrotation against torsional fracture using the testing apparatus as shownin FIG. 8. According to the testing results in FIGS. 9 and 10, theinstruments with a martensitic microstructure exhibit a higher degree ofrotation and peak torque against torsional fracture than theiraustenitic counterparts.

It is appreciated that most instrument separation may have been causedby either cyclic fatigue or torsional fracture; therefore, theseparation of instruments made of shape memory alloys with martensiticmicrostructure may be significantly reduced according to the testingresults in (II) bending rotation fatigue test and (III) torque test.

The schematic graph of FIG. 9 shows the relationship between differentmetallurgical structures and average “maximum degree of rotation tofracture” of endodontic rotary instruments made of NiTi shape memoryalloy. More particularly, FIG. 9, shows that a higher degree of rotationmay be achieved by martensitic microstructure. It is appreciated thatthe ratio of the maximum degree of rotation to fracture (torsionalproperty) of the non-superelastic rotary file to the superelastic rotaryfile may be at least about 1.05:1 (e.g., at least about 1.075:1,preferably at least about 1.1:1) at about 25° C.

The schematic graph of FIG. 10 shows the relationship between differentmetallurgical structures and average “peak torque” of endodontic rotaryinstruments made of NiTi shape memory alloy. More particularly, FIG. 10,shows that higher torque resistance may be achieved by a martensiticmicrostructure. It is appreciated that the ratio of peak torque(torsional resistance) of the non-superelastic rotary file to thesuperelastic rotary file may be at least about 1.05:1 (e.g., at leastabout 1.075:1, preferably at least about 1.09:1) at about 25° C.

IV. Endodontic instruments made of NiTi shape memory alloys in theirmartensitic state show increased conforming to a curved canal profilerelative to conventional superelastic instruments of similar shapeand/or size.

Without introducing ledging, transportation, and/or perforation, it isappreciated that instruments formed of shape memory alloys in theirmartensitic microstructure may be used in cleaning and shaping thehighly curved canal as shown in FIG. 11. Advantageously, theseinstruments tend to be more conforming to the curvature of the rootcanal because of (1) high flexibility due to the presence of martensite;(2) better reorientation and self-accommodation capability of themartensitic variants due to the low symmetry of monoclinic crystalstructure of martensite relative to the cubic crystal structure ofaustenite under applied dynamic stresses during root canal surgery.

A secondary heat treatment may be utilized to further control thestiffness of the non-superelastic file by providing one or more bendstherein while optimizing the material properties of the file. This maybe accomplished by heat treating the non-superelastic file at certainparameters to adjust the stiffness of the file (e.g., making thenon-superelastic file stiffer or less stiff. For example, in oneembodiment, a shape set non-superelastic nonlinear file may be formed byfurther heat treating a non-superelastic file using the heat treatmentmethod described herein of forming a shape set nonlinear file, thoughnot required. It is appreciated that the heat treatment process forforming a shape-set nonlinear file (e.g., as discussed below) maygenerally include positioning the non-superelastic file within a fixtureso that the non-superelastic file may be orientated into a nonlinearfile path and heating the fixture including the non-superelastic file toa temperature from about 300° C. to about 650° C. (e.g., about 450° C.to about 550° C.) for a period of time from about 1 minutes to about 45minutes (e.g., about 3 minutes to about 30 minutes, and preferably about5 minutes to about 20 minutes) thereby shape-setting thenon-superelastic file to form a shape-set non-superelastic nonlinearfile when utilized after the non-superelastic heat treatment process.

It can be seen that the invention can also be described with referenceto one or more of the following combinations.

A. A method for manufacturing a non-superelastic rotary file comprisingthe steps of: (i) providing a superelastic rotary file having anaustenite finish temperature; and (ii) heating the superelastic rotaryfile to a temperature of at least about 300° C. for a time period of atleast about 5 minutes to alter the austenite finish temperature therebyforming the non-superelastic rotary file; wherein the altered austenitefinish temperature of the non-superelastic rotary file is greater thanabout 25° C.

B. The method of claim 1, wherein the altered austenite finishtemperature of the non-superelastic rotary file is greater than 27° C.(e.g., between about 27° C. and 35° C.).

C. The method of claim 1 or 2, wherein the altered austenite finishtemperature of the non-superelastic rotary file is greater than 30° C.(e.g., between about 30° C. and 35° C.).

D. The method of any of the preceding claims, wherein the alteredaustenite finish temperature of the non-superelastic rotary file isgreater than 33° C. (e.g., between about 33° C. and 35° C.).

E. The method of any of the preceding claims, wherein the alteredaustenite finish temperature of the non-superelastic rotary file isgreater than 35° C. (e.g., between about 35° C. and 40° C.).

F. The method of any of the preceding claims, wherein the alteredaustenite finish temperature of the non-superelastic rotary file isgreater than 37° C. (e.g., between about 37° C. and 45° C.).

G. The method of any of the preceding claims, wherein the heating step,the temperature ranges from about 300° C. to about 600° C.

H. The method of any of the preceding claims, wherein the heating step,the temperature ranges from about 370° C. to about 510° C.

I. The method of any of the preceding claims, wherein the heating step,the time period ranges from about 5 minutes and about 120 minutes.

J. The method of any of the preceding claims, wherein the heating step,the time period ranges from about 10 minutes and about 60 minutes.

K. The method of any of the preceding claims, wherein the superelasticrotary file includes a shape memory alloy.

L. The method of any of the preceding claims, wherein the shape memoryalloy includes nickel and titanium.

M. The method of any of the preceding claims, wherein the shape memoryalloy is a nickel-titanium based binary alloy.

N. The method of any of the preceding claims, wherein the shape memoryalloy is a nickel-titanium based ternary alloy.

O. The method of any of the preceding claims, wherein thenickel-titanium based ternary alloy of the formula Ni—Ti—X wherein X isCo, Cr, Fe, or Nb

P. The method of any of the preceding claims, wherein the shape memoryalloy includes a copper based alloy, an iron based alloy or acombination of both.

Q. The method of any of the preceding claims, wherein the shape memoryalloy is the copper based alloy includes CuZnAl or CuAlNi.

R. The method of any of the preceding claims, wherein the shape memoryalloy is the iron based alloy includes FeNiAl, FeNiCo, FeMnSiCrNi, orFeNiCoAlTaB.

S. The method of any of the preceding claims, wherein the ratio of peaktorque (flexibility/stiffness) of the non-superelastic rotary file tothe superelastic rotary file is less than about 8:9 at about 25° C.

T. The method of any of the preceding claims, wherein the ratio of totalnumber of cycles to fatigue (resistance against cyclic fatigue) of thenon-superelastic rotary file to the superelastic rotary file is at leastabout 1.25:1 at about 25° C.

U. The method of any of the preceding claims, wherein the ratio ofmaximum degree of rotation to fracture (torsional property) of thenon-superelastic rotary file to the superelastic rotary file is at leastabout 1.05:1 at about 25° C.

V. The method of any of the preceding claims, wherein the ratio of peaktorque (torsional resistance) of the non-superelastic rotary file to thesuperelastic rotary file is at least about 1.05:1 at about 25° C.

W. The method of any of the preceding claims, further comprising thestep of providing a handle and attaching the handle to a portion of thenon-superelastic rotary file.

X. The method of any of the preceding claims, wherein for binary NiTi,the nickel weight percentage may range from about 45% to about 60%(e.g., about 54.5% to about 57%) with a balance of titanium compositionbeing about 35% to about 55% (e.g., about 43% to about 45.5%).

Y. The method of any of the preceding claims, wherein for ternary NiTiX,the X element may be less than 15% (e.g., less than about 10%) in weightpercentage.

Z. A method for manufacturing a non-superelastic rotary file comprisingthe steps of (i) providing a non-superelastic wire having an austenitefinish temperature greater than about 25° C.; (ii) heating thenon-superelastic wire to a manufacturing temperature that is higher thatthe austenite finish temperature; and (iii) forming flute(s), groove(s),or a combination of both about the superelastic wire to form a rotaryfile; wherein the rotary file is non-superelastic at a temperature thatranges from about 25° C. to about the austenite finish temperature.

AA. The method of claim 23, wherein the austenite finish temperature ofthe non-superelastic rotary file is greater than 26° C. (e.g., betweenabout 26° C. and 35° C.).

BB. The method of claim 23, wherein the austenite finish temperature ofthe non-superelastic rotary file is greater than 27° C. (e.g., betweenabout 27° C. and 35° C.).

CC. The method of claim 23 or 24, wherein the austenite finishtemperature of the non-superelastic rotary file is greater than 30° C.(e.g., between about 30° C. and 35° C.).

DD. The method of any of the preceding claims, wherein the austenitefinish temperature of the non-superelastic rotary file is greater than33° C. (e.g., between about 33° C. and 40° C.).

EE. The method of any of the preceding claims, wherein the austenitefinish temperature of the non-superelastic rotary file is greater than35° C. (e.g., between about 35° C. and 40° C.).

FF. The method of any of the preceding claims, wherein the austenitefinish temperature of the non-superelastic rotary file is greater than37° C. (e.g., between about 37° C. and 45° C.).

GG. The method of any of the preceding claims, wherein the heating step,the manufacturing temperature ranges from about 5° C. to about 200° C.

HH. The method of any of the preceding claims, wherein the heating step,the manufacturing temperature ranges from about 10° C. to about 50° C.

II. The method of any of the preceding claims, wherein thenon-superelastic wire includes a shape memory alloy.

JJ. The method of any of the preceding claims, wherein the shape memoryalloy includes nickel and titanium.

KK. The method of any of the preceding claims, wherein the shape memoryalloy is a nickel-titanium based binary alloy.

LL. The method of any of the preceding claims, wherein the shape memoryalloy is a nickel-titanium based ternary alloy.

MM. The method of any of the preceding claims, wherein thenickel-titanium based ternary alloy of the formula Ni—Ti—X wherein X isCo, Cr, Fe, or Nb

NN. The method of any of the preceding claims, wherein the shape memoryalloy includes a copper based alloy, an iron based alloy or acombination of both.

OO. The method of any of the preceding claims, wherein the shape memoryalloy is the copper based alloy includes CuZnAl or CuAlNi.

PP. The method of any of the preceding claims, wherein the shape memoryalloy is the iron based alloy includes FeNiAl, FeNiCo, FeMnSiCrNi orFeNiCoAlTaB.

QQ. The method of any of the preceding claims, further comprising thestep of providing a handle and attaching the handle to a portion of thenon-superelastic rotary file.

RR. The method of any of the preceding claims, wherein the handle islocated distally from the flute(s), groove(s), or any combinationthereof.

SS. A method for manufacturing a non-superelastic rotary file comprisingthe steps of providing a superelastic rotary file having an austenitefinish temperature; and heating the superelastic rotary file to atemperature of at least about 300° C. for a time period of at leastabout 5 minutes to alter the austenite finish temperature therebyforming the non-superelastic rotary file; wherein the altered austenitefinish temperature of the non-superelastic rotary file is greater thanabout 25° C.

Nonlinear Instruments and Methods of Manufacturing Thereof

The present invention further contemplates nonlinear instruments (e.g.,endodontic instruments) and methods for forming thereof. A file designmay be produced by utilizing a fixture to deflect portions of aconventional file (e.g., linear file) so that the geometry of the filemay be arranged into a predetermined nonlinear finished shape andheating the file to form a shape-set nonlinear file. More particularly,shape setting a file to a desired geometry (e.g. generally nonlinearshape) to better distribute surface contact with the pulp materialand/or infected material of the root canal relative to the wall of theroot canal (e.g. dentin/pulp interface) during cleaning and/or shapingof root canals with various curvatures (e.g., extreme curvature). In onedesirable aspect, the nonlinear shaped file may be configured to expandthereby ensuring the walls of the root canal are being cleaned (e.g.,removing pulp and/or infected material) while minimizing the removal ofdentin and/or pulp materials. In another desirable aspect, the nonlinearshaped file may be configured to collapse upon contact with one or moreportions of the root canal walls when the root canal walls are narrowerthan the bends of the nonlinear shaped rotary file to reduce excessiveremoval of the dentin and/or pulp materials. Furthermore, the presentinvention may include the method of forming a nonlinear file, which maybe accomplished by placing the conventional file into a fixture and thenplacing the fixture along with the file in a heated chamber for a timeto shape set the file to the predetermined geometry thereby forming ashape-set nonlinear file.

FIGS. 12A, 12B, and 12C show various files (e.g. dental file) of thepresent invention having a nonlinear shape. Nonlinear files 20, 108,and/or 110 of FIGS. 12A-12C, respectively generally extend along a fileaxis 26 and include an elongated nonlinear shaft portion 22 having a tip28, a proximal end 24 and a working portion therebetween. The proximalend 28 may be secured to a handle (not shown) or may include anattachment end 27 for attachment to a handpiece (e.g., a rotary device).The shaft 22 includes at least one offset portion 30 and preferably aplurality of offset portions 30 (e.g., bends) where at least a portionof the shaft 22 extends along an axis different from the file axis 26thereby becoming generally nonlinear. In one preferred embodiment, thenonlinear shaft portion 22 extends within a common plane (e.g., in a twodimensional space).

It is appreciated that the nonlinear files may include a plurality ofoffsets 30 (e.g., at least about 2 offsets, at least about 3 offsetssuch as in nonlinear files 20 and 108, at least about 4 offsets such asnonlinear file 110, or otherwise). More particularly, the nonlinear file20 may have a geometry similar to a generally C-shaped profile, agenerally S-shaped profile, a generally sinusoidal shape profile orotherwise shaped nonlinear profile. It is appreciated that the nonlinearfile may have a generally smaller shaft 22 length and/or a generallylarger file taper as in nonlinear file 108 or may include a generallylonger shaft 22 length and/or a generally smaller file taper as innonlinear files 20 and 110, though not required. Optionally, the tip end28 may be offset from the file axis 26 (FIGS. 12A and 12B) or may extendalong the file axis 26 (FIG. 12C).

Generally, the offset portion 30 may include a section of the shaft 22that generally extends between two locations along the file axis. Forexample, the offset portion may extend between a first shaft location34A where the shaft begins to extend away from the file axis 26 and asecond shaft location 34B where the shaft returns to the file axis 26.Furthermore, it is appreciated that the offset portion may extend fromor to end portions of the shaft 22 (e.g., the tip 28, the proximal end24, and/or otherwise). The offset portion 30 may include a crest 32. Thecrest 32 may be generally an outermost point within the correspondingoffset portion 30 along the shaft portion 22 having the greatestdistance from the file axis 26. This maximum distance (e.g., maximumdisplacement) between the crest 32 and the file axis 26 may be definedby the crest displacement distance 36.

In an embodiment having a plurality of offset portions 30, each offsetportion 30 (e.g., 30A, 30B, etc . . . ) may include a crest 32 (e.g.,32A, 32B, etc . . . ) and a corresponding crest displacement. Forexample, as seen in FIG. 12, the shaft 22 includes a first offsetportion 30A (defining a first lower curve) having a first crest 32A(apex of the curve), a second offset portion 30B (defining a secondupper curve) having a crest 32B (apex of the curve), and a third offset30C having a crest 32C (the tip 28 of the file). In the first offsetportion 30A, the shaft 22 extends away from the file axis 26 (e.g.,increasing displacement distance) at a shaft location 34A (e.g., nearthe proximal end 24 of the file 20) and continues to be displaced awayfrom the file axis 26 until its outermost point at the first crest 32Aof the first offset portion 30A. From the first crest 32A, the shaft 22extends towards the file axis 26 such that the amount of displacementdecreases (relative to the first crest displacement distance 36A) untilthe shaft 22 extends to and/or through the file axis 26 at the shaftlocation 34B (e.g., inflection point). The shaft 22 extends through thefile axis 26 at the shaft location 34B to define the second offsetportion 30B whereby the shaft 22 once again continues to extend awayfrom the file axis 26 (e.g., increasing displacement distance) to theoutermost point of the second offset portion 30B at the second crest32B. From the second crest 32B, the shaft 22 extends towards the fileaxis 26 such that the amount of displacement decreases (relative to thesecond crest displacement distance 36B) until the shaft 22 extends tothe file axis 26 at the shaft location 34C. The shaft 22 then extendsthrough the file axis 26 at the shaft location 34C and continues toextend away from the file axis 26 (e.g., increasing displacementdistance) to define the third offset portion 30C having a third crest32C (with a third crest displacement distance 36C) at the tip 28 of thenonlinear file 20.

FIG. 12B shows a nonlinear file 108 having a geometry generally similarto the nonlinear file 20 of FIG. 12A. The nonlinear file 108 may differfrom the nonlinear file 20 in that the nonlinear file 108 may include asmaller shaft length and/or overall file length. FIG. 12C shows anonlinear file 110 having shaft length and/or overall file lengthgenerally similar to the nonlinear file 20 of FIG. 12A. The nonlinearfile 110 may differ from the nonlinear file 20 in that the nonlinearfile 110 may include an additional offset portion offset portion therebyforming multiple bends (e.g., four bends) so that the nonlinear file 110includes two pairs of upper and lower curves, each curve generallyextending to and/or transitioning through the file axis.

Preferably, though not required, crest displacement distance decreasesfrom one offset portion to another offset portion the closer the offsetportion may be relative to the tip 28 of the nonlinear file 20. Forexample, in FIG. 12, the first crest displacement distance 36A may begreater than the second crest displacement distance 36B, which may begreater than the third crest displacement distance 36C. However, it isappreciated than the crest displacement distance may vary from oneoffset portion to another offset portion or may be the same.Furthermore, it is appreciated that the crest displacement distance mayincrease or decrease from one offset portion to another offset portionindependent of the location of the offset portion relative to the tip28, the proximal end 24 of the file 20, one or more adjacent offsetportions, and/or otherwise.

It is appreciated that the shaft 22 may be displaced from the file axis26 along the offset portion 30 in an amount greater than about 0.0 mm,preferably greater than about 0.05 mm, and more preferably greater than0.5 mm. Furthermore, it is appreciated that the shaft 22 may bedisplaced from the file axis 26 along the offset portion 30 in an amountless than about 7 mm, preferably less than about 6 mm, and morepreferably less than about 5 mm. For example, the shaft 22 may bedisplaced from the file axis 26 along the offset portion 30 in an amountgreater than 0.0 mm to about 7 mm, preferably from about 0.05 mm toabout 6 mm, and more preferably from about 0.5 mm to about 5 mm.

The present invention may include a fixture 40 for forming the nonlinearfile 20. The fixture 40 may be provided in various sizes having anywidth, length, and/or thickness sufficient for accommodating a dentalinstrument according to the present invention. In one embodiment, thefixture 40 includes a base 41 having a top surface 42 (e.g., a generallyflat surface), a back wall 43, a forward wall 44, and left and rightside walls 45. The base includes one or more displacement members 46that define a nonlinear file path for receiving a conventional dentalinstrument (e.g., file 10A, 10B, 100, or otherwise). The base 41 mayincludes a plurality of displacement members 46 arranged about the base41 that when contacted by the shaft 22, one or more portions of theshaft 22 may be deflected away from or towards the file axis 26.Optionally, the base 41 may further include one or more guiding members48 that aid in maintaining portions of the shaft 22 along the file axis26. It is appreciated that one or more of the displacement members 46,the guiding members or a combination of both may integral with orseparate from the base 41. Furthermore, it is appreciated that one ormore of the displacement members 46, the guiding members or acombination of both may being fixedly secured to the base or adjustableto alter the nonlinear file path defined thereby. In one specificembodiment as shown in FIG. 13, the base 41 includes a plurality ofguiding members 48 having a first pair of corresponding guiding members50A and 50B and a second pair of guiding members 52A and 52B and aplurality of displacement members 46 having a first displacement member54, a second displacement member 56, a first pair of correspondingdisplacement members 58A and 58B, and a second pair of correspondingdisplacement members 60A and 60B.

The displacement members 46 and guiding members 48 (e.g., pins orotherwise), when included of FIG. 13 extend upward (e.g., generallyperpendicularly) from the base 41 and may be situated in a configurationto define a predetermined nonlinear file path. It is appreciated that asa conventional file (e.g., generally linear file) is directed towardsone or more of the displacement members 46 and guiding members 48, oneor more portions of the shaft 22 may be displaced away from the fileaxis 26 (e.g., towards the back wall 43 or forward wall 44) or towardsthe file axis 26 so that the portions of the shaft 22 may conform to thepredetermined nonlinear file path of the fixture 40 to orientate theshaft of the conventional file into a nonlinear shape (e.g., a curvedfile).

More specifically, a conventional file may be inserted into the fixture40 such that the tip 18 may be first extended through the first pair ofcorresponding guiding members 50A,50B and then through the second pairof correspond guiding members 52A,52B. Each guiding member of thecorresponding pair may be spaced apart sufficiently to allow the shaft12 to pass therebetween while generally maintaining the file along thefile axis 26. As such, there may be generally little or no shaftdisplacement from the file axis 26 as the conventional file is guidedthrough each pair of guiding members 46. As the tip 18 of theconventional file continues to be inserted into the fixture, the tip 18may contact the first displacement member 54A, which preferably deflectsthe tip 18 away from the file axis 26 (e.g., towards the back wall 43 orthe forward wall 44. generally along the top surface 42 and within acommon plane). Similarly, as the remaining displacement members 46 arecontacted by the tip 18 (as well as various sections of the shaft 12),portions of the conventional file continue to be deflected towards oraway from the file axis 26 until the tip 18 reaches (e.g., extendsthrough) the last displacement member 46 (e.g., the pair ofcorresponding displacement members 60A,60B) such that the shaft 12 ofthe conventional file may be orientated into the predetermined shapethat is defined by the nonlinear file path of the fixture 40.Thereafter, the conventional file being positioned along the nonlinearfile path of the fixture 40 may be subjected to a heat-treatment processas discussed below to shape-set the one or more conventional filesthereby forming one or more shape-set nonlinear files (e.g., nonlinearfile 20 of FIG. 12A, nonlinear file 108 of FIG. 12B, nonlinear file 110of FIG. 12C, or otherwise).

Various sized conventional files may be accommodated by varying thedepth of insertion into the fixture so that the tip 18 extends to (e.g.,contacts) the last displacement member 46, the optional guiding member48, the end of the fixture, or any displacement member/guiding membertherebetween until the conventional file is orientated into thepredetermined shape. Furthermore, the guiding members, the displacementplacement members, or a combination of both may be secured to the base41 with sufficient spacing to define the predetermined file path whilebeing able to accommodate various sized files having differentthicknesses, tapers, materials and/or lengths.

It is appreciated that in another embodiment, the present invention mayaccommodate various sized files having different thicknesses, tapers,materials and/or lengths by providing an adjustable fixture 70 havingone or more adjustable displacement members 76, one or more adjustableguiding members 78, or a combination of both. The adjustable members 76and 78 may be configured to allow for repositioning of the at least onemember along the top surface 42 of the base 41. More, particularly, thefixture 70 shown in FIG. 14 may include one or more (e.g., two)displacement members (e.g., pins) movable in at least one direction(different direction such as transversely between the back wall 43 andthe forward wall 44) to accomplish the desired finished nonlineargeometry of the file.

In doing so, one or more adjustable members may be repositionedgenerally transversely relative to the file axis 26 (e.g., towards theback wall 43 or the forward wall 44) to accommodate a thicker shaft, athinner shaft, a shaft having a greater file taper, a shaft having asmaller file taper, or combinations thereof. For example, at least onedisplacement member and/or guiding members (e.g., 50A, 52A, 58A, 60A) ofthe corresponding displacement members and/or corresponding guidingmembers may be transversely repositioned relative to the othercorresponding displacement member and/or corresponding guiding member(e.g., 50B, 52B, 58B, 60B), respectively, to increase or decrease thespacing therebetween thereby allowing the fixture to accommodateconventional files having various shaft thicknesses. Furthermore, one ormore adjustable members may be repositioned generally transverselyrelative to the file axis 26 (e.g., towards the back wall 43 or theforward wall 44) to increase or decrease the offset portion 30transversely thereby increasing or decreasing the crest displacementdistance, respectively. For example, by transversely repositioning atleast one displacement member 46 (e.g., 54, 56), the shaft 22 may bedisplaced further away from the file axis 26 thereby forming a greaterbend (e.g., curve) with a greater displacement distance.

Optionally or in addition to, one or more adjustable members may berepositioned generally longitudinally relative to the file axis (e.g.,towards the left or right side walls 45) to accommodate files of variouslengths or to increase or decrease the longitudinal distance of theoffset portion 30. It is contemplated that the longitudinal distance ofthe offset portion 30 may be defined as the distance along the file axis26 between two adjacent portions of the shaft that intersect the fileaxis 26 (e.g., the distance along the file axis 26 between shaftlocations 34A and 34B, shaft location 34C and the tip 28, or otherwise).For example, the longitudinal spacing between the first pair ofcorresponding guiding members 50A,50B and the second pair ofcorresponding displacement members 60A,60B may be increased or decreasedgenerally longitudinally relative left and right side walls 45 toaccommodate longer or shorter shafts 22, respectively. Furthermore, thelongitudinal distance of the offset portion 30 may be increased ordecreased by increasing or decreasing the longitudinal space between twoor more of the displacement members 46, the guiding members 48, orcombinations of each, respectively. For example, spacing between thesecond pair of guiding members 52A,52B and the displacement member 56may be increased or decreased generally longitudinally relative left andright side walls 45 thereby increasing the longitudinal distancetherebetween. In this example, increasing or decreasing the longitudinaldistance of an offset portion may also include the transversedisplacement of the shaft 22 by a displacement member (e.g.,displacement member 54), though not required.

FIG. 14 shows one specific example of an adjustable fixture 50 havingsimilar features as described in the fixture 40 and further including afirst adjustable displacement member 76A and a second adjustabledisplacement member 76B. The adjustable displacement members 76A and 76Bmay be configured to be adjusted transversely (e.g., towards the backand forward walls 43,44) to increase and/or decrease the offset portions30A,30B relative to the file axis 26. The adjustable displacement member76 may be adjusted (or readjusted) prior to, during, and/or afterinsertion of the conventional file within the fixture 50 to achieve thedesired file path for forming the predetermined nonlinear shaped file.

As mentioned above, fixture 50 may include adjustable guiding members(not shown). For purposes of this disclosure, adjustable member mayinclude an adjustable displacement member, an adjustable guiding member,or a combination of both. The adjustable member (e.g., adjustabledisplacement member 76) may be adjustably secured to the base 41, whichallows the adjustable member to be movable within a slot portion 78(78A,78B) when a different predetermined file path may be desired, toaccommodate a different sized conventional file, or otherwise andcombinations thereof. It is appreciated that the slot portion 78 may beprovided transversely (e.g., generally perpendicularly) relative to thefile axis 26 (e.g., extending towards the back or forward walls 43,44 asshown in FIG. 14), longitudinally (e.g., generally parallel) relative tothe file axis 26 (e.g., extending towards the left or right side walls45), diagonally, or otherwise.

Once one or more of the adjustable members have been moved into adesired position to form at least a portion of the predetermined filepath, the adjustable member may be temporarily secured into the desiredposition so as to maintain the portion of the predetermined file path.The adjustable member may then be repositioned to form a different filepath if desired. It is appreciated that any adjustable securing meansmay be utilized sufficient for removeably secure the adjustable member.

In another embodiment of the present invention a fixture may be providedfor forming a one or more nonlinear shaped files. As shown in onespecific example, 15A-16C provide a fixture 80 that may include a basemember 81 having a top surface 82, a back wall 83, a forward wall 84,and left and right side walls 85. The top surface 82 may include atleast one groove 90 defining a predetermined file path for receiving aconventional file (e.g., generally linear file). Preferably, the fixture80 may include a plurality of file grooves 90, which may be similar orvary from one file groove 90 to another. As shown in FIGS. 15A-16C, thefixture 80 includes a plurality of similar grooves 90. The file groove90 may be formed in a recessed valley of the top surface 82. The filegroove 90 may extend (e.g., generally transversely) to one or both ofthe back wall 83 and the forward wall 84 so that an opening in therespective top and/or bottom walls may extend therethrough as shown inFIG. 16B. Having the file groove extend through at least one of the backand forward walls 83,84 may be desirable to accommodate a handle portion16, an attachment end 17, the tip end 18, or otherwise, which may bepositioned outside or partially outside of the fixture 80. It is furtherappreciated that the file groove 90 may extend completely within thefront surface 82 such that either end of the file groove 90 do notextend through either the back and forward walls 83,84. In this case,the groove 90 may further include a portion sufficiently spaced toaccommodate the handle portion 16, the attachment end 17, or otherwise.

Furthermore, the file grove 90 may be of any size or length sufficientto accommodate various sized files. The width and/or height of the filegroove 90 may generally correspond to at least the widest and/orthickest portion of the file shaft (e.g., generally near the proximalend of the file) so that file movement (e.g., transverse and/orrotational) may be limited or substantially eliminated. It is possiblethat the height of the file groove 90 may be less than the height (e.g.,thickness) of the file when the cover member 100 further includes acorresponding space (e.g., file groove) to accommodate one or moreportions of the file that may extend above the top surface 82.

Preferably, the top surface 82 of the fixture 81 and/or the base of thefile groove 90 may be generally flat, though not required. It isappreciated that the top surface 82, the base of the groove 90, or acombination of both may vary (e.g., sloping, curving, and/or otherwise)to accommodate one or more files having the same or different degrees offile taper. As such, the height of the file groove may remain constantor vary depending on whether the top surface 82 and/or the base of thefile groove 90 remains generally flat or varies to accommodate variousfile dimensions (e.g., file taper, height, thickness, and/or otherwiseof the file). Desirably, the file groove 90 generally complements thefile width and/or height so that file movement (e.g., longitudinally,transversely, radially, or otherwise) may be limited or substantiallyresisted within the one or more portions of the file groove 90 (e.g.,once the file is orientated into a desired position and/or shape withinthe predetermined file path).

Fixture 80 may also include one or more displacement portions 86, one ormore guiding portions 88, or a combination of both that define thepredetermined file path and the groove 90. As discussed above, thedisplacement portion 86 may be generally configured for displacing theshaft 22 from or towards the file axis 26 while the guiding portion 88may be generally configured for maintaining the shaft 22 and/or proximalend 24 generally along the file axis 26.

Preferably, the fixture 80 may include a plurality of grooves 90, eachbeing defined by one or more displacement portions 86 having a firstpair of corresponding displacement portions 92A,92B and a second pair ofcorresponding displacement portions 94A,94B. The fixture 80 may furtherinclude one or more guiding portions 88 having a first pair ofcorresponding guiding portions 96A,96B and a second pair ofcorresponding guiding portions 98A,98B to further define each groove 90.Together, the displacement portions 86 and the guiding portions 88 maybe positioned to define the groove 90 and a determined file path thereinfor receiving and orientating portions of a conventional file into apredetermined nonlinear shape (e.g., having one or more curves such asgenerally an S-shape, C-shape, or otherwise).

The fixture 80 may further include a cover member 100 configured formating with the base member 81. The cover member 100 may include abottom surface 101, a top surface 102, a back wall 103, a forward wall104, and left and right side walls 105. Mating of the base member 81 andthe cover member 100 may be accomplished by way of an attachmentfeature. The attachment feature may be any known structure being capableof removably securing the cover member 100 to the base member 81 so asto generally maintain the file within the file groove 90 while limitingor substantially eliminating movement of the file therein. In onenonlimiting example as shown in FIGS. 15A-16C, the fixture 80 furtherincludes an attachment feature 102 having boss portions 104, which maybe configured for being received by corresponding aperture portions 106thereby generally maintaining the base member 81 relative to the covermember 100 in a closed position. More particularly, after one or moreconventional files have been orientated within the one or more filegrooves 90, the cover member 100 may be placed over the base member 81such that the apertures 106 of the cover member 100 are generallyaligned with the boss portions 104. The cover member 100 may be thenlowered onto the base member 81 such that the top surface 82 of the basemember 81 may be proximately located to the bottom surface 101 of thecover member 101. It is appreciated that at least a portion of the topsurface 82 may contact at least a portion of the bottom surface 101, andpreferably a substantial portion of the top surface 82 may contact asubstantial portion of the bottom surface 101, although not required.Once the cover member 100 has been attached to the base member 81 by wayof the attachment feature, the one or more files located therein (e.g.,with the one or more file grooves 90) are generally maintained in placeso that movement of the file within the groove 90 may reduced orsubstantially eliminated. As such, preferably, the boss portion 104includes a shape and size (e.g., generally cylindrical or otherwise)that may be dimensioned so as to complement the aperture 104 such thatonce the boss portion 104 is received by the aperture 104 there may begenerally little or substantially no movement within the aperture 106.Thereafter, the one or more conventional files being positioned withinthe one or more file grooves 90 so as to be orientated along thenonlinear file path of the fixture 80 may be subjected to aheat-treatment process as discussed below to shape-set the one or moreconventional files thereby forming one or more shape-set nonlinear files(e.g., nonlinear file 20 of FIG. 12A, nonlinear file 108 of FIG. 12B,nonlinear file 110 of FIG. 12C, or otherwise).

Optionally, the fixture 80 may include one or more adjustable members(not shown). When included, the adjustable members may be movable (andtemporarily securable) to provide various file groove designs.

As shown in FIG. 17, a longitudinal cross-sectional view of a toothportion 120 including dentin 122 generally surrounding a root canal 124(e.g., pulp and/or nerve tissue) with a root canal wall 125, the rootcanal 124 being prepared (e.g., cleaned and/or shaped) by one embodimentof the present invention including a shape-set nonlinear file 126. Thepreparation (e.g., cleaning and/or shaping) of the root canal 124 mayinclude an operator advancing (e.g., urging) (while rotating,reciprocating, oscillating vertically, or otherwise, and combinationsthereof) the nonlinear file 126 generally towards the apex 128 of theroot canal 124 to remove an infected area that may include pulp alongwith bacteria, decayed nerve tissue and related debris from the tooth120. Once the root canal 124 has been cleaned, the root canal 124 may bereshaped and/or enlarged to allow better access for filling thereafter.

It is appreciated that during the removal of the infected area of theroot canal 124 and surrounding area, the nonlinear file 126 maytypically encounter some resistance as portions of the nonlinear file126 contacts the material to be removed (e.g., dentin, pulp, nervetissue and/or infected material) within the tooth. This file resistanceand optionally any downward force by the operator towards the apex ofthe root canal during use of the nonlinear file, may cause the nonlinearfile to expand (e.g., generally increase at least one offset portion130), collapse (e.g., generally decrease at least one offset portion130), or a combination of both. Expansion and/or collapsing of theoffset portion 130 generally may occur in the transverse direction, thelongitudinal direction, or a combination of both relative to the fileaxis so that surface contact with the root canal (e.g., the material tobe removed) may be increased. More particularly, as the file resistanceoccurs (e.g., contacting the dentin and/or root canal wall) one or moreoffset portion may be deformed along a path of least resistance (e.g.,towards the pulp material) so that dentin removal may be minimized whilemaximizing contact with the pulp material thereby maximizing pulpmaterial removal.

FIG. 18 shows a similar longitudinal cross-sectional view of the rootcanal 124 shown in FIG. 17 while being cleaned and/or shaped using acomparable conventional linear file 132 (e.g., generally similar shaftlength, thickness, and taper). It is believed, that due to the linearshape of the linear file 132, the root canal opening 134 (e.g., filecleaning path) is generally formed having a diameter generallyequivalent to the diameter of the shaft of the linear file 132. Linearfile 132A and linear file 132B show various positions of the linear file132 during rotation thereof. As shown in the various positions of thelinear file 132A,132B, there may be generally little or substantially nowidening of the root canal opening 134 (e.g., file cleaning path) duringthe rotation of the conventional linear file 132 (e.g., the root canalopening 134 is generally formed having a diameter substantially similarto the diameter of the shaft of the linear file 132) as shown in FIG.18.

As such, the nonlinear file 126 of the present invention may provideincreased surface contact of the material to be removed within the rootcanal chamber 124 thereby increasing material removal while cleaningand/or shaping thereof as compared to a comparable conventional linearfile having generally the same file width as well as file taper.

FIG. 19A show another longitudinal cross-section of the toothpreparation shown in FIG. 17 including the same nonlinear file 126through various positions during one rotation of the nonlinear file 126at generally the same depth within the root canal 124. FIG. 19B shows atransverse cross-section A-A of the tooth preparation shown in FIG. 19A.FIGS. 19A and 19B include a nonlinear file 126A at a first position(e.g., at about 0 degrees of rotation and at about 360 degrees ofrotation), a nonlinear file 126B at a second position (e.g., at about 90degrees of rotation), a nonlinear file 126C at a third position (e.g.,at about 180 degrees of rotation), and a nonlinear file 126D at a fourthposition (e.g., at about 270 degrees of rotation).

The nonlinear file 126 may be configured to create a root canal opening136 having a diameter D (e.g., width) greater than the diameter (e.g.,width) of the shaft of the nonlinear file 126. It is appreciated thatthe diameter D may be the same or may be different at different depthsalong the root canal opening 136. Typically, when referring the diameterD of the root canal opening 136 relative to the diameter of the shaft ofthe file, both diameters are taken at generally the same relative depth(e.g., transverse cross-section) of the root canal.

The nonlinear file 126 may be configured to create a root canal openinghaving a diameter at least about 10% greater, at least about 25%greater, at least about 50% greater, and at least about 75% greater thanthe diameter (e.g., width) of a root canal opening created by the shaftof the nonlinear file 126. Furthermore, the nonlinear file 126 may beconfigured to create a root canal opening having a diameter less thanabout 1000% greater, less than about 750% greater, less than about 500%greater, and less than about 200% greater than the diameter of a rootcanal opening created by the shaft of the nonlinear file 126. Forexample, the nonlinear file 126 may be configured to create a root canalopening having a diameter ranging from about 10% to about 1000%, fromabout 25% to about 750%, from about 50% to about 500%, and from about75% to about 200% greater than the diameter of a root canal openingcreated by the shaft of the nonlinear file 126. Desirably, the nonlinearfile 126 may be configured to create a root canal opening having adiameter ranging from about 100% to about 1000%, and preferably fromabout 200% to about 500% greater than the diameter of the shaft of thenonlinear file 126. It is appreciated, that the nonlinear file 126 maybe configured to create a root canal opening having a diameter (e.g.,width) greater than 1000% than the diameter (e.g., width) of a rootcanal opening created by the shaft of the nonlinear file 126 dependingon the downward force of the operator towards the apex of the rootcanal, the size and/or shape of the root canal, the file stiffness, thesize and/or shape of the nonlinear file offset, or otherwise, andcombinations thereof. In one specific example, as shown in FIG. 19B, agenerally oval shaped root canal opening 136A having an opening wall137A may be formed from the rotation of the nonlinear file 126. Asmentioned above, the shape of the oval shaped root canal opening may begenerally influenced by various parameters such as the shape of the rootcanal 124 (e.g., root canal wall 138) or otherwise. The generally ovalshaped root canal opening 132 may include a longitudinal diameter (e.g.,generally along the transverse cross-section A-A) and a transversediameter. More particularly, the longitudinal diameter (e.g., fromnonlinear file 126C to nonlinear file 126A) may have a diameter at leastabout 200% (e.g., at least about 300%) greater than the diameter of theshaft of the nonlinear file 126 and the transverse diameter (e.g., fromthe nonlinear file 126D to the nonlinear file 26B) may have a diameterat least about 100% (e.g., at least about 200%) greater than thediameter of the shaft of the nonlinear file 126.

The nonlinear file may be configured to form a root canal opening with adiameter being at least about 10% (e.g., 0.1 times), at least about 25%,at least about 50%, and at least about 75% greater than a diameter of aroot canal opening formed by a conventional linear file (e.g., having agenerally similar shaft length, thickness, and taper of nonlinear file126). Furthermore, the nonlinear file may be configured to form a rootcanal opening with a diameter being less than about 1000% (e.g., 10times), less than about 750%, less than about 500%, and less than about200% greater than a diameter of a root canal opening formed by aconventional linear file (e.g., having a generally similar shaft length,thickness, and taper of nonlinear file 126). For example, the nonlinearfile may be configured to form a root canal opening with a diameterranging from about 10% to about 1000%, from about 25% to about 750%,from about 50% to about 500%, and from about 75% to about 200% greaterthan a diameter of a root canal opening formed by a conventional linearfile (e.g., having a generally similar shaft length, thickness, andtaper of nonlinear file 126). In one specific example for comparing rootcanal cleaning and/or shaping as shown in the root canals 124 of FIGS.18 and 19B, it is appreciated that the nonlinear file 126 of the presentinvention may be configured to provide increased surface contact withthe root canal 124 such that a root canal opening 136 may be formedhaving a diameter D that may be greater than the diameter P of the rootcanal opening 134 formed by the conventional linear file 132 (e.g.,having a generally similar shaft length, thickness, and taper ofnonlinear file 126).

In another embodiment, the design and material for the nonlinear filemay be configured to adapt to the root canal shape being at least equalto the natural root canal geometry.

In yet another embodiment, the present invention may include a nonlinearfile (e.g., dental file) that extends from a file axis in at least twodifferent planes (e.g., three dimensional (3D) space) and methods forforming thereof. FIG. 20 shows a nonlinear file 140 (e.g.,cork-screw-like shape, or otherwise) that generally extends along acentral file axis 146 and may include an elongated nonlinear shaftportion 142 having a tip 148, a proximal end 144, and a working portiontherebetween. The proximal end 144 may be secured to a handle (notshown) or may include an attachment end 147 for attachment to ahandpiece (e.g., a rotary device). Similar to the coplanar (e.g.,two-dimensional) nonlinear files discussed above, the three-dimensional(e.g., 3D) nonlinear file 140 may be formed in various predeterminednonlinear shapes having different shaft lengths, widths, and/or filetaper.

Advantageously, the shaft 142 may include at least one offset portion150 having at least a portion of the shaft 142 being displaced from thefile axis 146 along at least two different planes thereby forming agenerally nonlinear (e.g. 3D) file 140. The offset portion 150 mayinclude a crest 152, which generally may be the outermost portion of theshaft 142 along the offset portion 150 relative to the file axis 146.The distance (e.g., transverse distance) from the file axis 146 to thecrest 152 (e.g., an internal edge 156 of the crest 152) may be definedby the crest displacement distance 154 (e.g., the maximum displacementdistance of the offset portion 150).

It is appreciated that the shaft 142 may extend away from the file axis146 (and optionally back to the file axis 146) to form a single offsetportion 150 having a bend, curve, and/or otherwise. Furthermore, theshaft 142 may extend away from and back to the file axis 146 multipletimes to form a plurality of offset portions 150 having a plurality ofbends and/or curves similar to the nonlinear files 20,108,110. Theoffset portion(s) 150 may extend between any portions of the shaft 142,(e.g., generally between the proximal end 144 and the tip end 148).Desirably, the shaft 142 may include a generally continual offsetportion 150A as shown in FIG. 20. In this specific embodiment, thecontinual offset portion 150A of the shaft 142 may extend from a shaftlocation 156 to the tip 148. As the continual offset portion 150A of theshaft 142 is extended away from the file axis 146 along a displaced filepath, a continual displacement distance 158 may be provided defining adistance that the shaft 142 (e.g., internal edge of the shaft 142) isdisplaced from the file axis 146. The offset portion 150A of the shaft142 may be continually displaced (e.g., along the displaced file path)from the file axis 146 (e.g. in a generally radially displaced manner)thereby defining a generally spiral-like shape.

It is appreciated that the offset portion 150 of the shaft 142 may bedisplaced from the file axis 146 (e.g., displacement distance 158) in anamount greater than about 0.0 mm, preferably greater than about 0.05 mm,and more preferably greater than 0.5 mm. Furthermore, it is appreciatedthat the offset portion 150 of the shaft 142 may be displaced from thefile axis 146 in an amount less than about 7 mm, preferably less thanabout 6 mm, and more preferably less than about 5 mm. For example, theoffset portion 150 of the shaft 142 may be displaced from the file axis146 in an amount greater than 0.0 mm to about 7 mm, preferably fromabout 0.05 mm to about 6 mm, and more preferably from about 0.5 mm toabout 5 mm.

It is further appreciated that at least about 10%, preferably at leastabout 25%, and more preferably at least about 50% of the shaft 142(e.g., along one or more longitudinal portions of the shaft between theproximal end and the tip) may be continually displaced radially from thefile axis 146. Furthermore, it is appreciated that less than about 100%,preferably less than about 95%, and more preferably less than about 90%of the shaft 142 (e.g., along one or more longitudinal portions of theshaft between the proximal end and the tip) may be continually displacedradially from the file axis 146. For example, from about 10% to about100%, preferably from about 25% to about 95%, and more preferably fromabout 5% to about 90% of the shaft 142 (e.g., along one or morelongitudinal portions of the shaft between the proximal end and the tip)may be continually displaced radially from the file axis 146.

In this specific example as shown in FIG. 20, the spiral shapednon-linear file 140 includes a continual offset portion 150A. Desirably,the continual offset portion 150A includes an increasing displacementdistance 158 as the continual offset portion 150A extends toward the tip148. When included, the continual offset portion 158A extends from thefile axis 146 at a shaft location 194 and continues to be displacedalong the remaining portion of the shaft 142 to the tip 148, therebyforming a spaced apart portion 159 therein extending along the file axis146.

In another embodiment of the present invention having an expandableand/or collapsible design as discussed herein being a generally flutedfile formed by wrapping the nonlinear file in to a nonlinear-shape(e.g., by spiraling) resulting in a 3-Dimensional bend instead of a2-Dimensional bend as shown above.

The present invention may include a fixture for forming a nonlinearshaped file extending about at least two planes (e.g., with a threedimensional space). As shown in one specific example, FIGS. 21-23provide fixture 160 that may include an inner member 162 having a firstend 164, a second end 166, an outer surface 168 and a file groove 170defines a predetermined nonlinear file path for receiving a conventionalfile (e.g., a generally linear file). The inner member 162 may be agenerally cylindrically shaped member, or otherwise shaped member. Theinner member 162 generally extends along a fixture axis 163. Desirably,once the shaft 142 is received by the inner member 162, the file axis163 may extend along the shaft axis 146 or at least may be generallyparallel to the shaft axis 146, though not required. Generally, theinner member 162 may be sufficiently sized having a thickness (e.g.,width and/or diameter) capable of receiving a file groove 170 formedtherein as a recessed valley along the outer surface 168. The recessedvalley of the file groove 170 may include side walls 172 and a basesurface 174 extending therebetween at a bottom portion of the side walls172. Desirably, the thickness (e.g., diameter) of the inner member 162(e.g., generally including the file groove 170) may be greater than thethickness (e.g., width and/or diameter) of the shaft 142 of thenonlinear file 140. The increased thickness of the inner member 162allows for the formation of the groove 170 being sufficiently sized toreceive the shaft 142 while providing one or more displacement portionsfor displacing one or more portions of the shaft 142 positioned withinthe groove 170 of the inner member 142.

The file groove 170 may extend (e.g., generally longitudinally) alongany portion of the inner member 162, however, preferably the file groove170 may extend along the outer surface 168 from the first end 164 to thesecond end 166 of the inner member 162, though not required. Moreparticularly as shown in FIGS. 22A and 22B, the file groove 170 mayfurther include a first opening 176 at the first end 164 for receivingthe conventional file and may extend about the inner member 162therethrough to a second opening 178 at the second end 166. Having thefile groove 170 extend through at least one of the first and second ends164,166 may be desirable to accommodate a handle portion (not shown), anattachment end 147, the tip end 148, or otherwise, which may bepositioned outside or partially outside of the fixture 160. It isfurther appreciated that the file groove 170 may extend completelywithin the outer surface 168 such that neither end of the file groove170 extends through the first and second ends 164,166. In this case, thegroove 170 may further include a portion sufficiently spaced toaccommodate the handle portion, the attachment end, or otherwise.

Furthermore, the file grove 170 may be dimensioned having generally anysize or length sufficient to accommodate various sized files. It isappreciated that the width and/or height of the file groove 170 maycomplement the corresponding portion of the file shaft to be received bythe file groove 170. Desirably, the width and/or height of the filegroove corresponds to at least the widest and/or thickest portion of thefile shaft (e.g., generally near the proximal end of the file) so thatfile movement may be limited or substantially resisted once theconventional file is positioned within the file groove 170. It ispossible that the height of the file groove 170 may be less than theheight (e.g., thickness) of the file if a cover member is includedhaving a corresponding space such as a corresponding file groove (notshown) to accommodate one or more portions of the file that may extendabove the outer surface 168.

The height of the file groove 170 may be generally constant throughoutthe length of the file groove 170, though not required. However, it isappreciated that the height of the file groove 170 may vary (e.g., thebase 174 and/or the outer surface 168 may slope, curve, bend, and/orotherwise) to accommodate various file dimensions (e.g., file taper,height, thickness, and/or otherwise of the file). Desirably, the filegroove 170 generally complements the file dimensions (e.g., width and/orheight) so that file movement (e.g., longitudinally, transversely,radially, or otherwise) may be limited or substantially resisted withinthe one or more portions of the file groove 170 (e.g., once the file isorientated within the predetermined file path of the file groove 170 andinto a desired position and/or shape). For example, as shown in FIGS.22A and 22B, the height of the groove 170 may vary from the first end164 to the second end 166 with the first end 164 having a greater filegroove height (to accommodate the proximal end 144 of the nonlinear file140 having generally a larger file width) than the second end 166 havinga smaller file groove height (to accommodate the tip 148 of thenonlinear file 140 having generally a smaller file width). It iscontemplated that the height of the file groove 170 may be generallyinversely related to the displacement distance 158 or crest displacementdistance. As such, the continual offset set portion 150 of the shaft 142near the proximal end 144 may have a smaller displacement distancerelative to the continual offset portion 150 of the shaft 142 near thetip 148 having a larger displacement distance. Desirably, the height ofthe file groove 170 generally decreases from the first end 164 to thesecond end 166 to accommodate the file taper of the conventional file sothat the top portion of the file (e.g., the top of the file generallyextending between the top portions of the groove side walls 172) may begenerally flush with the top surface 168 of the inner member 162, thoughnot required. However, it is appreciated that the height of file mayextend above or below the top of the file groove 170.

The inner member 162 may also include one or more displacement portions180, one or more guiding portions 182, or a combination of both thatdefine the predetermined nonlinear file path and the groove 170. Asdiscussed above, the displacement portion 180 may be generallyconfigured for displacing the shaft 142 away from or towards the fileaxis 146 while the guiding portion 182 may be generally configured formaintaining the shaft 142 and/or proximal end 144 generally along thefile axis 146.

As mentioned above, the file groove 170 may be formed as a recessedvalley along the outer surface 168 so that the file groove 170 mayextend in a winding-like (e.g., spiral) manner around the cylindricallyshaped inner member 162. The groove 170 may be partially wound aroundthe inner member 162 or may be wound around the inner member 162 one ormore times. As shown in FIG. 21-22B, the file grove 170 may extend alongone complete spiral (e.g., from the first end 164 to a middle portion184 of the inner member 162) and may continue to extend along a partialspiral (e.g., from the middle portion 184 to the second end 166) aroundthe inner member 162. The inner member 162 may also include fixturedisplacement distance 186, which may be defined by the distance betweenthe base 174 of the file groove 170 and the fixture axis 163 (and/or thefixture axis 146, when collinear). Similar to the displacement distance158, the fixture displacement distance 186 defines one or more portionsof the shaft 142 that may be displaced from the file axis 146. Moreparticularly, in one specific nonlimiting example as shown in FIGS.21-22B, the inner member 162 may include a continual (e.g., variable)fixture displacement distance 186 extending generally from a firstportion 190 of the inner member 162 proximate to the first end 164 tothe second end 166 of the inner member 162. The inner member 162,including the continual fixture displacement distance 186, may result inthe nonlinear file 140 having an opening 192 extending longitudinallygenerally along the file axis 146. It is appreciated that the resultantopening 192 generally extends from a shaft location 194 to the end ofthe shaft 142 (e.g., tip 148). However, the present invention may notlimited to a single and/or continual offset portion 150 and may includea plurality of offset portions 150 such that the shaft 142 may bedisplaced from and then returned to the file axis 146 one or more timesas discussed herein. Desirably, the displacement portions 180, theguiding portions 182 may be positioned to define a the groove 170 and adetermined file path therein for receiving and orientating portions of aconventional file into a predetermined nonlinear shape (e.g., having oneor more curves such as generally a spiral-shape, corkscrew-shape, orotherwise).

The fixture 160 may further include a cover member 200 configured formating with the inner member 162. The cover member 200 may include aninner surface 202, an exterior surface 204, each generally extendingbetween a first end 206 and second end 208. Generally, the cover member200 may be configured to mate with the inner member 162 thereby at leastpartially enclosing the file groove 170. Desirably, the inner surface102 of the cover member 200 substantially or completely encloses thefile groove 170 while providing an opening and/or throughhole at one orboth ends of the file groove 170 (e.g., at the first and/or second ends164,166 of the inner member 162) to allow the shaft 142 to passtherethrough. More so, it is appreciated that the inner surface 202 beconfigured to mate with (e.g., correspond or compliment) the exteriorsurface 168 of the inner member 162. As shown in FIGS. 21 and 23, thecover member 200 may include a generally cylindrical throughhole 210being defined by the inner surface 202. The cylindrical throughhole 210may be sufficiently spaced to receive the inner member 162 and the shaft142 extending therethrough as shown in FIG. 21. Typically, the spacingbetween the exterior surface 168 of the inner member 162 and the innersurface 204 of the cover member 200 may be minimized to substantiallymaintain at least a portion of the shaft 142 within the file groove 170so that the shaft 142 may be generally maintained along thepredetermined nonlinear file path. More particularly, the spacingbetween the exterior surface 168 of the inner member 162 and the innersurface 204 of the cover member 200 may be minimized to reduce orsubstantially prevent movement (e.g., radially) of the shaft 142 withinthe file groove 170. The exterior shape of the cover member 200 may becylindrically shaped as well, however, any shape and/or size of thecover member 200 is contemplated.

Mating of the inner member 162 and the cover member 200 may beaccomplished by way by any attachment means known in the art. Theattachment means may be by friction fit or by any other attachmentmeans. The attachment means may be any known structure being capable ofremovably securing the cover member 200 to the inner member 162 so as togenerally maintain the shaft 142 within the file groove 170. Optionally,this may be accomplished while also limiting or substantiallyeliminating movement of the shaft 142 therein. Thereafter, the file(e.g., shaft 142) being positioned within the file groove 170 so as tobe orientated along the nonlinear file path of the fixture 160 may besubjected to a heat-treatment process as discussed below to shape-setthe conventional file thereby forming a shape-set nonlinear file (e.g.,three dimensional spiral-shaped file 140 or otherwise).

In one specific example of forming the nonlinear file 140 as shown inFIG. 21, the method may include wrapping a spiral fluted file (e.g.,Nickel Titanium file) around the inner member (e.g., spiral pin).Placing the cover member (e.g., tube cover) over the inner membercomprising the fluted file so that the inner member comprising thefluted file may be inserted through the opening of the cover memberthereby maintain in the fluted file in spiral-shaped configuration.Optionally, the cover member may be placed over the inner member priorto inserting the fluted file into the fixture (e.g., file groove).Heating the fixture assembly including the fluted file into a heatingapparatus (e.g., oven) so that the fluted file may be shape set into thespiral-shaped configuration about the inner member.

As discussed above, the process of producing the shape set dentalinstrument may include placing a conventional file (e.g., fluted NiTilinear file) into a bending fixture thereby orientating the conventionalfile into a predetermined shape (e.g., nonlinear shape) and thenshape-set heat treating (discussed below) the bending fixture toshape-set the conventional file thereby forming a shape-set nonlinearfile corresponding to the predetermined shape. The number of bends(e.g., offset portions) and/or the location of the bends may be chosenfrom a plurality of configurations in addition to the ones describedherein. The fixture design and/or process of shape-setting the file maybe produced from various configurations to form a nonlinear file and/ormass production of nonlinear files of the type and design disclosedherein or otherwise. More particularly, the design of the inner membermay be varied into a plurality of configurations to form spirals orotherwise having a larger or smaller diameter, degree of overall taper(different from file taper), more or less spirals, or otherwise.

Generally, the method for forming the shape-set nonlinear file mayinclude 1) providing a conventional file (e.g., linear file) having afile axis; 2) provide a fixture having a predetermined nonlinear filepath (e.g., 2D, 3D, or otherwise); 3) inserting the conventional fileinto the fixture so that a first portion of the conventional file (e.g.,shaft of the file) may be displaced from the file axis within a firstplane (e.g., to form a two dimensional nonlinear file); 4) optionallydisplacing a second portion of the conventional from the file axis witha second plane being different from the first plane (e.g., to form athree dimensional nonlinear file); and 5) heat-treating the nonlinearfile thereby forming a shape-set nonlinear file.

It is appreciated that the heat treatment process for forming ashape-set nonlinear file may include heating a superelastic file to atemperature of at least about 300° C., preferably at least about 350°C., and more preferably at least about 450° C. Furthermore, it isappreciated that the heat treatment process for forming a shape-setnonlinear file may include heating a superelastic file to a temperatureless than about 600° C., preferably less than about 550° C. and mostpreferably less than 500° C. For example, the heat treatment process forforming a shape-set nonlinear file may include heating a superelasticfile to a temperature from about 300° C. to about 650° C., preferablyfrom about 350° C. to about 600° C., and more preferably from about 450°C. to about 550° C.

The heat treatment process for forming a shape-set nonlinear file mayinclude heating a superelastic file to a temperature for a time periodof at least about 1 minute, preferably at least about 3 minutes, andmore preferably at least about 5 minutes to shape-set the superelasticfile thereby forming a shape-set nonlinear file. Furthermore, it isappreciated that the heat treatment process for forming a shape-setnonlinear file may include heating a superelastic file to a temperaturefor a time period of less than about 45 minutes, preferably less thanabout 30 minutes, and more preferably less than about 20 minutes. Forexample, the heat treatment process for forming a shape-set nonlinearfile may include heating a superelastic file to a temperature for a timeperiod from about 1 minute to about 45 minutes, preferably from about 3minutes to about 30 minutes, and more preferably from about 5 minutes toabout 20 minutes.

The shape-set parameters for the heat treatment process may includeheating the material (e.g., Nickel Titanium or otherwise) to atemperature from about 300° C. to about 600° C. (e.g., about 400° C. toabout 550° C.) or otherwise for a time period from about 1 minute toabout 45 minutes (e.g., about 1 min to about 30 min) or otherwise. In apreferred embodiment of the present invention for shape-setting a file,a typical shape-set temperature and time in the heating apparatus (e.g.,oven) may be approximately 500° C. (+/−50° C.) for 10 minutes (+/−5minutes) which allows the file to take on a different permanent shape(e.g., nonlinear shape).

After the shape-setting heat-treatment, the nonlinear file may beallowed to cool. The cooling step may include gradually reducing thetemperature of the heating apparatus, quenching, and/or air cooling thenonlinear file either directly or while within the fixture. Preferably,once the shape-setting heat-treatment has been completed, in the heatingapparatus, the fixture may be removed from the heating apparatus andallowed to air cool. Thereafter, once the fixture has been cooled, thefile may be removed from the fixture thereby forming a shape-setnonlinear file that may be permanently shape-set into a new nonlineargeometry.

The shape-set endodontic file (e.g., rotary files) contemplated herein,may include one or more bends along the length of the file shaft toensure maximal surface contact with the root canal as it is beingcleaned and shaped during a root canal procedure. It is well known thatroot canals within a tooth structure are not uniform in cross section.Most root canals are irregular in geometry and can have various crosssection geometries including elliptical, ribbon, elongated, narrow, etc.With conventional files (e.g., linear files), the cross-section of thefile is generally circular in geometry and therefore typically willremove more of the dentin of the root canal to ensure that all walls ofthe root canal are cleaned and shaped or less of the dentin of the rootcanal because either the file is undersized or the root canal geometryis too large to allow for the conventional file to clean it. By having ashape-set nonlinear file, the file may be configured to “expand” therebymaximizing surface contact (e.g., increasing the overall perimeter ofthe nonlinear file during rotation) will the walls of the root canalthat are being cleaned or “collapse” thereby reducing surface contact(e.g., decreasing the overall perimeter of the nonlinear file duringrotation) if the root canal walls are narrower than the curves of theshaped file. Overall perimeter of the nonlinear file during rotation,reciprocation, vertical oscillation, or otherwise and combinationthereof may be defined as the distance around the perimeter of theopening formed by the nonlinear file during rotation thereof relative toa specific depth of the file within the root canal. It is appreciatedthat expansion and/or collapsing of the nonlinear file may occur inresponse to the geometry of the root canal wall 138 (e.g., dentin/pulpinterface) changing in the radial direction along various depths (e.g.,longitudinal direction) of the root canal. For example, as shown inFIGS. 19A-19B, a root canal opening 136A having an opening wall 137A maybe formed during the rotation, reciprocation, vertical oscillation, orotherwise and combination thereof of the nonlinear file 126 at a depthrepresented by the cross-section A-A. The distance around the openingwall 137A defines the overall perimeter of the root canal opening 136Arelative to the depth of the nonlinear file at the cross-section A-A.More particularly, the root canal opening 136 defines the hole/openingcreated by the nonlinear file during rotation, reciprocation, verticaloscillation, or otherwise and combination thereof and the opening wall137 defines the material (e.g., dentin, pulp or otherwise material)/holeinterface.

Generally, during expansion of the nonlinear file, the amplitude (e.g.,displacement distance) of at least one offset portion (e.g., curveportion) may increase (e.g., increasing the displacement distance)thereby generally increasing the overall perimeter formed duringrotation of the nonlinear file. It is appreciated that by increasing theoverall perimeter during rotation of the nonlinear file, surface contactwith the root canal may increase such that a larger root canal openingmay be formed. Generally, during the collapse of the nonlinear file, theamplitude of at least one curve portion may decrease (e.g., decreasingthe displacement distance), thereby generally decreasing the overallperimeter formed during rotation of the nonlinear file. It isappreciated that by decreasing the overall perimeter formed duringrotation of the nonlinear file, surface contact with the root canal maydecrease such that a smaller root canal opening may be formed.Desirably, one or more portions of the nonlinear file may expand whileone or more other more other portions collapse thereby optimizingsurface contact of the nonlinear file with the root canal so that theamount of root canal material removed may be increased relative to agenerally similar linear file. Thus, the shape-set nonlinear file mayexpand and/or collapse where needed within the root canal to optimizeroot canal cleaning and/or shaping relative to the geometry of the rootcanal wall.

Factors such as file stiffness may affect the cleaning and/or shaping ofa root canal. The amount of stiffness of the shape-set nonlinear filemay be optimized to insure that the file may be allowed to expand whenthe nonlinear file may be shaping and/or cleaning a relatively largeportion of the root canal and/or collapse when the nonlinear file may beshaping and/or cleaning a relatively small portion of the root canal byseveral variables. In one embodiment, the stiffness of the bends (e.g.,offset portions) may be controlled by cross-section design of the file.With conventional linear rotary files, the shafts may be availablehaving a file taper where the diameter of the shaft generally increasestip having a certain tip diameter from the file tip (having a certaintip diameter) along the length of the file shaft (or at least a portionthereof). File taper may be generally defined by the rate of increase ofthe diameter along the length of the file shaft. For example, a filewith a 4% taper will generally have about a 0.04 mm diameter increaseabout every 1.0 mm in length of the shaft portion from the tip of thefile. With the shape-set nonlinear files that may configured to expandand/or collapse at one or more offset portions, surface contact with theroot canal walls may be generally increased relative to a similarconventional file (e.g., linear file) with a similar taper. Therefore,the ability to increase the overall perimeter of the canal openingformed by the nonlinear file during rotation or otherwise, file tapermay be reduced (e.g., reducing shaft stiffness) in the shape-setnonlinear file thereby reducing the cyclic fatigue resistance andflexibility of the nonlinear file. Typically, in order to achieve asimilar overall perimeter of a canal opening using a conventional linearfile, file taper is greatly increased (e.g., increasing shaft stiffness)thereby increasing cyclic fatigue resistance and flexibility of thenonlinear file. As such, the shape-set nonlinear file may include alower degree of file taper for forming a canal opening with an overallperimeter relative to a conventional linear file having an increaseddecree of file taper to form a canal opening having the same overallperimeter.

Stiffness of the nonlinear file may be optimized by increasing mass incross-section (e.g., greater taper or thicker shaft) to make thenonlinear file stiffer or by decreasing mass in cross-section (e.g.,lower taper or thinner shaft) to make the nonlinear file less stiff. Byincreasing mass in the cross-section may reduce or substantiallyrestrict expansion or collapsing of an offset portion of the file shaftwhile decreasing mass in the cross-section may increase expansion orcollapsing of the offset portion of the file shaft. Optionally or inaddition to adjusting the mass of the cross-section, the stiffness ofthe nonlinear file may be optimized by increasing the number of offsetportions (e.g., increasing stiffness) or decreasing the number of offsetportions (e.g., decreasing stiffness). Furthermore, stiffness of thenonlinear file may be optimized by increasing the deflection of theoffset portions relative to longitudinal axis of the non-linear file(e.g., the distance from the longitudinal axis of the file to the crestof the deflection) to increase stiffness or by decreasing the deflectionamount of the offset portions relative to longitudinal file axis of thenon-linear file (e.g., the distance from the generally longitudinal fileaxis of the nonlinear file to the crest and/or inner edge of the offsetportion of the shaft) to decrease stiffness.

A secondary heat treatment may be utilized to further control thestiffness of the bends by optimizing the material properties of thefile. This may be accomplished by heat treating the shape-set file atcertain parameters to adjust the stiffness of the file (e.g., making thefile stiffer or less stiff). For example, in one embodiment, anon-superelastic shape set nonlinear file may be formed by further heattreating a shape-set nonlinear file using the heat treatment methoddescribed herein for forming a non-superelastic file, though notrequired. It is appreciated that the heat treatment process for forminga non-superelastic file may generally include heating a superelasticfile to a temperature from about 300° C. to about 600° C. (e.g., about400° C. to about 500° C.) for a period of time from about 20 minutes toabout 120 minutes (e.g., about 35 minutes to about 80 minutes, andpreferably about 40 minutes to about 70 minutes) thereby increasing theaustenite finishing temperature to greater than 20° C. (e.g., greaterthan about 25° C., and preferably greater than 30° C., between about 20°C. and about 60° C., between about 20° C. and about 40° C., preferablybetween about 30° C. and about 40° C., and more preferably between 35°C. and about 40° C.) when utilized after the shape-set heat treatmentprocess.

Another method to control the stiffness is by the chemical compositionof the Nickel Titanium by adding a Tertiary element to the NickelTitanium such as Fe, Cu, Cr, etc or by varying the percentages ofNickel, Titanium or the Tertiary element or otherwise as discussedherein.

It is appreciated that the heating step for the non-superelastic heattreatment and/or the nonlinear heat treatment may be accomplished by anyknown heating means (electrical heating process, radiant or inductionheating or may be supplied with a heated fluid such as steam or oil, orotherwise, and any combination thereof) sufficient for heating theinstruments to the temperatures described herein. In one preferredembodiment, the heating step may include heating the instrument in afurnace under a controlled atmosphere as discussed herein.

In another embodiment, the heating step may include heating (e.g.,selectively heating) an instrument (e.g., one or more portions of theinstrument) while optionally inserted into a fixture (for the purpose ofaltering or maintaining a desired shape profile) as described herein.Temperature control is generally quite important in such processes forthe purpose of attaining or maintaining a desired metallurgical stateand/or carrying out heat treatment steps such as nitriding and the like.Resistance heating, wherein an electrical current is flowed through theinstrument so as to generate heat, may be since resistance heating maybe very quick and very controllable so that precise temperatures may beachieved and/or selected regions of the instrument heated.

The heating step when utilizing resistance heating may also includecontacting the instrument with a liquid or gaseous fluid during thecourse of a forming and treatment process. This fluid may comprise aquench fluid used to control the temperature of the instrument, or itmay comprise a treatment fluid such as a species which may be chemicallyreactive with the metal of the instrument; such treatment fluids maycomprise nitriding fluids, or otherwise. Otherwise, this fluid maycomprise a treatment fluid such as a species which may be chemicallyunreactive with the metal of the instrument.

Electrical resistance heating may be understood to mean a processwherein a direct or alternating electrical current is applied directlyto an instrument so as to cause the heating of that instrument.Generally, an electrical current may be applied directly to theinstrument and/or the fixture when included so as to heat thatinstrument. In one embodiment, the heated instrument or portions of theinstrument may be subjected to the heat to maintain the configuration ofthe instrument while positioned within the fixture in a nonlinearorientation as described herein (e.g., shape-set heat treatment). Inother instances, the heating alters a metallurgical state of theinstrument. More particularly, electrical resistance heating may enableselective heating for one or more portions of the instrument or mayprovide heating of the entire instrument to alter the metallurgicalstate of the instrument or portions thereof as discussed herein (e.g.,non-superelastic heat treatment). It is appreciated that one or moreportions of the instrument may be selectively heated so that one or moreportions of the instrument includes an increased A_(f) to form anon-superelastic portion while one or more different portions of theinstrument may include a different Af (e.g., non-superelastic orsuperelastic portion). Furthermore, it is appreciated that one or moreportions of the instrument may be selectively heated so that the one ormore portions of the instrument include an increased A_(f) to form anon-superelastic portion while one or more different portions of theinstrument may include a lower A_(f) to form a superelastic portion. Thedegree of heating may be controlled with great precision by controllingthe flow of electrical current. Subsequent thereto, the electricalcurrent is terminated, and the instrument is allowed to cool. Theprofile of the cooling may be controlled by use of quenchants.

It is appreciated that in heating the instrument using resistanceheating, a pair of spaced apart electrode contacts, which form anelectrically conducting junction to the instrument or a portiontherebetween, are in electrical communication with a source ofelectrical power (e.g., a generator, batteries, or otherwise). Once thecontacts are positioned about the instrument, electricity will flowbetween the spaced apart contacts, thereby providing the heat sufficientfor carrying out the specific heat treatment. As discussed above, insome instances, if only certain portions of the instrument are to besubjected to a heat treatment cycle, the contacts may be disposed so asto deliver electrical current only to those portions of the instrument.Accordingly, all of such embodiments are within the scope of thisinvention. Also, in some instances, certain portions of an instrumentmay be subjected to specific heat treatment steps separate from the heattreatment steps applied to the remainder of the instrument. For example,an entire instrument may be heat treated so as to induce a firstmetallurgical transition therein (e.g., non-superelasticheat-treatment), and selected portions of that instrument then retreatedto convert those selected portions to a specific geometry (e.g.,nonlinear file heat-treatment) and/or a second metallurgical state. Forexample, an instrument may be so processed to produce a high hardnessmember having selected areas of low hardness therein.

It will be further appreciated that functions or structures of aplurality of components or steps may be combined into a single componentor step, or the functions or structures of one-step or component may besplit among plural steps or components. The present inventioncontemplates all of these combinations. Unless stated otherwise,dimensions and geometries of the various structures depicted herein arenot intended to be restrictive of the invention, and other dimensions orgeometries are possible. In addition, while a feature of the presentinvention may have been described in the context of only one of theillustrated embodiments, such feature may be combined with one or moreother features of other embodiments, for any given application. It willalso be appreciated from the above that the fabrication of the uniquestructures herein and the operation thereof also constitute methods inaccordance with the present invention. The present invention alsoencompasses intermediate and end products resulting from the practice ofthe methods herein. The use of “comprising” or “including” alsocontemplates embodiments that “consist essentially of” or “consist of”the recited feature.

The explanations and illustrations presented herein are intended toacquaint others skilled in the art with the invention, its principles,and its practical application. Those skilled in the art may adapt andapply the invention in its numerous forms, as may be best suited to therequirements of a particular use. Accordingly, the specific embodimentsof the present invention as set forth are not intended as beingexhaustive or limiting of the invention. The scope of the inventionshould, therefore, be determined not with reference to the abovedescription, but should instead be determined with reference to theappended claims, along with the full scope of equivalents to which suchclaims are entitled. The disclosures of all articles and references,including patent applications and publications, are incorporated byreference for all purposes.

1. A method for manufacturing a nonlinear superelastic file comprisingthe steps of: providing a superelastic file having a shaft and a fileaxis; providing a fixture including a file groove being defined by oneor more displacement members, the file groove configured for receivingthe shaft; inserting at least a portion of the shaft into the fixturealong the file groove, the portion of the shaft including a firstportion of the shaft; contacting the first portion of the shaft with afirst displacement member of the one or more displacement members suchthat the first portion of the shaft is displaced from the file axisthereby forming a first offset portion of the shaft; heating the portionof the shaft while inserted in the fixture to a temperature of at leastabout 300° C. for a time period of at least about 1 minute to shape-setthe portion of the shaft thereby forming a shape-set nonlinear file. 2.The method of claim 1, wherein the heating step, the portion of theshaft is heated to a temperature from about 300° C. to about 650° C. fora time period from about 1 minute to about 45 minute to shape-set theportion of the shaft thereby forming the shape-set nonlinear file. 3.The method of claim 1, wherein the heating step, the portion of theshaft is heated to a temperature from about 350° C. to about 600° C. fora time period from about 3 minutes to about 30 minutes to shape-set theportion of the shaft thereby forming the shape-set nonlinear file. 4.The method of claim 1, wherein the heating step, the portion of theshaft is heated to a temperature from about 450° C. to about 550° C. fora time period from about 5 minutes to about 20 minutes to shape-set theportion of the shaft thereby forming the shape-set nonlinear file. 5.The method of claim 4, further comprising the step of cooling theportion of the shaft to form the shape-set nonlinear file and heating atleast a portion of the cooled shape-set nonlinear file to a temperaturefrom about 300° C. to about 600° C. for a period of time from about 20minutes to about 120 minutes to alter the austenite finish temperaturethereby forming a shape-set non-superelastic nonlinear file, and whereinthe altered austenite finish temperature of the shape-setnon-superelastic nonlinear file is from about 20° C. to about 40° C. 6.The method of claim 4, further comprising the step of cooling theportion of the shaft to form the shape-set nonlinear file and heating atleast a portion of the cooled shape-set nonlinear file to a temperaturefrom about 400° C. to about 500° C. for a period of time from about 40minutes to about 70 minutes to alter the austenite finish temperaturethereby forming a shape-set non-superelastic nonlinear file, and whereinthe altered austenite finish temperature of the shape-setnon-superelastic nonlinear file is from about 20° C. to about 40° C. 7.The method of claim 1, further comprising the step of contacting asecond portion of the shaft with a second displacement member of the oneor more displacement members such that the second portion of the shaftis displaced from the file axis thereby forming a second offset portionof the shaft, wherein the first offset portion of the shaft and the fileaxis define a first plane and the second offset portion defines a secondplane different from the first plane.
 8. The method of claim 7, whereinthe heating step, the portion of the shaft is heated to a temperaturefrom about 300° C. to about 650° C. for a time period from about 1minute to about 45 minute to shape-set the portion of the shaft therebyforming the shape-set nonlinear file.
 9. The method of claim 7, whereinthe heating step, the portion of the shaft is heated to a temperaturefrom about 350° C. to about 600° C. for a time period from about 3minutes to about 30 minutes to shape-set the portion of the shaftthereby forming the shape-set nonlinear file.
 10. The method of claim 7,wherein the heating step, the portion of the shaft is heated to atemperature from about 450° C. to about 550° C. for a time period fromabout 5 minutes to about 20 minutes to shape-set the portion of theshaft thereby forming the shape-set nonlinear file.
 11. The method ofclaim 10, further comprising the step of cooling the portion of theshaft to form the shape-set nonlinear file and heating at least aportion of the cooled shape-set nonlinear file to a temperature fromabout 300° C. to about 600° C. for a period of time from about 30minutes to about 120 minutes to alter the austenite finish temperaturethereby forming a shape-set non-superelastic nonlinear file, and whereinthe altered austenite finish temperature of the shape-setnon-superelastic nonlinear file is from about 20° C. to about 40° C. 12.The method of claim 10, further comprising the step of cooling theportion of the shaft to form the shape-set nonlinear file and heating atleast a portion of the cooled shape-set nonlinear file to a temperaturefrom about 400° C. to about 500° C. for a period of time from about 40minutes to about 70 minutes to alter the austenite finish temperaturethereby forming a shape-set non-superelastic nonlinear file, and whereinthe altered austenite finish temperature of the shape-setnon-superelastic nonlinear file is from about 20° C. to about 40° C. 13.The method of claim 1, wherein the one or more displacement membersfurther includes a second displacement member and the file groove isfurther defined by a pair of guiding members for receiving a guideportion of the shaft therebetween, the pair of guiding members beingconfigured for maintaining the guide portion of the shaft from beingdisplaced from the file axis while the first displacement memberdisplaces the first portion of the shaft away from the file axis and thesecond displacement member displaces a portion of the shaft towards thefile axis.
 14. The method of claim 13, wherein the first displacementmember, the second displacement member, and the pair of guiding membersdefining the file groove form a predetermined curved nonlinear file paththat orientates the portion of the shaft into a generally C-shapedprofile.
 15. The method of claim 1, wherein the one or more displacementmembers further includes a second displacement member and a thirddisplacement member, and the file groove is further defined by a pair ofguiding members for receiving a guide portion of the shaft therebetween,the pair of guiding members being configured for maintaining the guideportion of the shaft from being displaced from the file axis while thefirst displacement member displaces the first portion of the shaft awayfrom the file axis, the second displacement member displaces a secondportion of the shaft away from the first displacement member and backthrough the file axis, and the third displacement member displaces the athird portion of the shaft from the second displacement member andtowards the file axis.
 16. The method of claim 15, wherein the firstdisplacement member, the second displacement member, the thirddisplacement member, and the pair of guiding members that define thefile groove form a predetermined curved nonlinear file path having atleast two arcuate portions that orientate the portion of the shaft intoa generally S-shaped profile.
 17. The method of claim 1, wherein thefile groove defines a first predetermined nonlinear file path and atleast one of the one or more displacement members are movable relativeto the file axis so that the file groove is a variable file grooveconfigured to define the first predetermined nonlinear file path or asecond predetermined nonlinear file path that is different from thefirst predetermined nonlinear file path.
 18. The method of claim 17,wherein the one or more displacement members includes at least twodisplacement member that are movable either independently orsimultaneously relative to the file axis so that the file groove is avariable file groove configured to define the first predeterminednonlinear file path or a second predetermined nonlinear file path thatis different from the first predetermined nonlinear file path.
 19. Amethod for manufacturing a nonlinear superelastic file comprising thesteps of: providing a superelastic linear file having a shaft and a fileaxis; providing a fixture including an inner member and an cover member,at least one of the inner member and the cover member having a filegroove being defined by one or more displacement members, the filegroove being configured for receiving the shaft and at least a portionof the file groove extending along a predetermined nonlinear file pathin a spiral-like manner; inserting at least a portion of the shaft intothe fixture along the file groove, the portion of the shaft including afirst portion of the shaft; contacting the first portion of the shaftwith a first displacement member of the one or more displacement memberssuch that the first portion of the shaft is displaced from the file axisthereby forming a first offset portion of the shaft, the first offsetportion of the shaft and the file axis defining a first plane;contacting a second portion of the portion of the shaft with a seconddisplacement member of the one or more displacement members such thatthe second portion of the shaft is displaced from the file axis therebyforming a second offset portion of the shaft, the second offset portionof the shaft defines a second plane different from the first plane; andheating the portion of the shaft to a temperature of at least about 300°C. for a time period of at least about 5 minutes to shape-set theportion of the shaft thereby forming a shape-set nonlinear file.
 20. Themethod of claim 19, wherein the heating step, the portion of the shaftis heated to a temperature from about 300° C. to about 650° C. for atime period from about 1 minute to about 45 minute to shape-set theportion of the shaft thereby forming the shape-set nonlinear file. 21.The method of claim 19, wherein the heating step, the portion of theshaft is heated to a temperature from about 350° C. to about 600° C. fora time period from about 3 minutes to about 30 minutes to shape-set theportion of the shaft thereby forming the shape-set nonlinear file. 22.The method of claim 19 wherein the heating step, the portion of theshaft is heated to a temperature from about 450° C. to about 550° C. fora time period from about 5 minutes to about 20 minutes to shape-set theportion of the shaft thereby forming the shape-set nonlinear file. 23.The method of claim 22, further comprising the step of cooling theportion of the shaft to form the shape-set nonlinear file and heating atleast a portion of the cooled shape-set nonlinear file to a temperaturefrom about 300° C. to about 600° C. for a period of time from about 30minutes to about 120 minutes to alter the austenite finish temperaturethereby forming a shape-set non-superelastic nonlinear file, and whereinthe altered austenite finish temperature of the shape-setnon-superelastic nonlinear file is from about 20° C. to about 40° C. 24.The method of claim 22, further comprising the step of cooling theportion of the shaft to form the shape-set nonlinear file and heating atleast a portion of the cooled shape-set nonlinear file to a temperaturefrom about 400° C. to about 500° C. for a period of time from about 40minutes to about 70 minutes to alter the austenite finish temperaturethereby forming a shape-set non-superelastic nonlinear file, and whereinthe altered austenite finish temperature of the shape-setnon-superelastic nonlinear file is from about 20° C. to about 40° C. 25.The method of claim 21, wherein the file groove extends along the innermember, the cover member, or a portion of both the inner member and thecover member in the spiral-like manner.
 26. The method of claim 21,wherein the cover member at least partially covers the portion of thefile groove extending in a spiral-like manner so that upon inserting theportion of the shaft into the fixture, the portion of the shaft ismaintained within the file groove.
 27. The method of claim 21, whereinthe inner member includes a fixture axis that is generally co-linearwith the file axis such that the portion of the file groove extending ina spiral-like manner is continually displaced from the fixture axisthereby continually displacing a corresponding portion of the shaftextending therein from the file axis.
 28. The method of claim 21,wherein the shaft includes a shaft length and at least about 50% of theshaft length is continually displaced radially from the file axis.
 29. Ashape-set superelastic nonlinear file comprising a file axis and a shafthaving a proximal end and a tip with a working portion therebetween; theshaft having at least one offset portion including a first offsetportion, the first offset portion being displaced from the file axissuch that the first offset portion and the file axis define a firstplane.
 30. The nonlinear file of claim 29, wherein the first offsetportion extends between a first shaft portion and a second shaft portiondefining a curve having a crest therebetween, the crest being displacedfrom the first shaft portion and the second shaft portion, each of thefirst shaft portion and the second shaft portion being generally locatedabout the file axis so that the nonlinear file includes a generallyC-shaped profile.
 31. The nonlinear file of claim 29, wherein the atleast one offset portion further includes a second offset portiondisplaced from the file axis, the first offset portion extends between afirst shaft port and a second shaft portion defining a first curvehaving a first crest therebetween and the second offset portion extendsbetween the second shaft portion and a third shaft portion defining asecond curve having a second crest therebetween, each of the first shaftportion and the second shaft portion being generally located about thefile axis so that the nonlinear file includes a generally S-shapedprofile.
 32. A shape-set superelastic nonlinear file comprising a fileaxis and a shaft having a proximal end and a tip with a working portiontherebetween; the shaft having at least one offset portion including afirst offset portion and a second offset portion, each of the firstoffset portion and the second offset portion being displaced from thefile axis such that the first offset portion of the shaft and the fileaxis define a first plane and the second offset portion defines a secondplane different from the first plane.
 33. The nonlinear file of claim32, wherein the first offset portion and the second offset portiondefine a continual offset portion that extends in a spiral-like mannerbeing continually displaced radially from the file axis.
 34. Thenonlinear file of claim 33, wherein the shaft includes a shaft lengthand the continual offset portion extends in the spiral-like manner alongat least about 50% of the shaft length.
 35. The nonlinear file of claim34, wherein the continual offset portion extends between a first portionof the shaft and a second portion of the shaft, the second portion ofthe shaft being further displaced from the file axis than the firstportion of the shaft and the second portion of the shaft being locatedcloser to the tip than the first portion of the shaft.
 36. The nonlinearfile of claim 34, wherein a distance between the shaft and the file axiscontinually increases from the first portion of the shaft to the secondportion of the shaft.
 37. A method of cleaning and shaping a root canalof a tooth, the tooth including a tooth pulp chamber and a dentin layergenerally surrounding the tooth pulp chamber, the root canal having aproximal portion adjacent the tooth pulp chamber and tapering to an apexportion adjacent the tooth, the dentin/pulp interface generally definingthe root canal wall, comprising the steps of: inserting into the rootcanal the shape-set nonlinear file of claim 29, rotating, reciprocating,or oscillating vertically or any combination thereof and axiallyadvancing the nonlinear file within the root canal; contacting the firstoffset portion with the root canal wall such that the first offsetportion collapses to minimize removal of the dentin layer therebyexpanding a second offset portion to increase surface contact with theremaining pulp chamber for removal thereof.
 38. The method of claim 37,wherein the at least one offset portion during rotation, reciprocation,oscillation vertically, or any combination thereof of the nonlinear fileforms a canal opening having an overall perimeter greater than theoverall perimeter of a canal opening formed by a conventional linearfile having a similar file taper and a similar shaft length at a samedepth of the root canal during the shaping and cleaning thereof.
 39. Amethod of cleaning and shaping a root canal of a tooth, the toothincluding a tooth pulp chamber and a dentin layer generally surroundingthe tooth pulp chamber, the root canal having a proximal portionadjacent the tooth pulp chamber and tapering to an apex portion adjacentthe tooth, the dentin/pulp interface generally defining the root canalwall, comprising the steps of: inserting into the root canal theshape-set nonlinear file of claim 32; rotating, reciprocating,oscillating vertically, or any combination thereof and axially advancingthe nonlinear file within the root canal; contacting a first portion ofthe continual offset portion with the root canal wall such that thefirst offset portion collapses to minimize removal of the dentin layerthereby expanding a second portion of the continual offset portion toincrease surface contact with the remaining pulp chamber for removalthereof.
 40. The method of claim 39, wherein the at least one offsetportion during rotation, reciprocation, oscillation vertically, or anycombination thereof of the nonlinear file forms a canal opening havingan overall perimeter greater than the overall perimeter of a canalopening formed by a conventional linear file having a similar file taperand a similar shaft length at a same depth of the root canal during theshaping and cleaning thereof.
 41. The method of claim 39, wherein the atleast one offset portion during rotation, reciprocation, oscillationvertically, or any combination thereof of the nonlinear file forms acanal opening having an overall perimeter less than the overallperimeter of a canal opening formed by a conventional linear file havinga conventional file taper and a similar shaft length at a same depth ofthe root canal during the shaping and cleaning thereof.
 42. The methodof claim 39, wherein the at least one offset portion includes a firstoffset portion and a second offset portion, the first offset portionduring rotation, reciprocation, oscillation vertically, or anycombination thereof of the nonlinear file forms a canal opening havingan overall perimeter greater than the overall perimeter of a canalopening formed by a conventional linear file having a similar file taperand a similar shaft length at a same depth of the root canal during theshaping and cleaning thereof, and second offset portion during rotation,reciprocation, oscillation vertically, or any combination thereof of thenonlinear file forms a canal opening having an overall perimeter lessthan the overall perimeter of a canal opening formed by a conventionallinear file having a conventional file taper and a similar shaft lengthat a same depth of the root canal during the shaping and cleaningthereof.
 43. A method for manufacturing a non-superelastic filecomprising the steps of: providing a superelastic file having anaustenite finish temperature; and heating at least a portion Of thesuperelastic file to a temperature from about 300° C. to about 600° C.for a period of time from about 5 minutes to about 120 minutes to alterthe austenite finish temperature thereby forming the non-superelasticfile; wherein the altered austenite finish temperature of thenon-superelastic file is from about 20° C. to about 40° C.
 44. Themethod of claim 43, wherein heating the step, the temperature is fromabout 300° C. to about 600° C. for a period of time from about 5 minutesto about 120 minutes to alter the austenite finish temperature therebyforming the non-superelastic file, and wherein the altered austenitefinish temperature of the non-superelastic file is from about 20° C. toabout 38° C.
 45. The method of claim 43, wherein the heating step, thetemperature is from about 400° C. to about 500° C. for a period of timefrom about 40 minutes to about 70 minutes to alter the austenite finishtemperature thereby forming the non-superelastic file, and wherein thealtered austenite finish temperature of the non-superelastic file isfrom about 20° C. to about 35° C.
 46. The method of claim 43, furthercomprising the step of cooling the portion of the non-superelastic fileand heating at least a portion of the cooled non-superelastic file to atemperature from about 300° C. to about 650° C. for a time period fromabout 1 minute to about 45 minute to shape-set the portion of the shaftthereby forming a shape-set non-superelastic nonlinear file.
 47. Themethod of claim 43, further comprising the step of cooling the portionof the non-superelastic file and heating at least a portion of thecooled non-superelastic file to a temperature from about 350° C. toabout 600° C. for a time period from about 3 minutes to about 30 minutesto shape-set the portion of the shaft thereby forming a shape-setnon-superelastic nonlinear file.
 48. The method of claim 1, wherein thenon-superelastic file is formed of a material that includes a shapememory alloy.
 49. The method of claim 48, wherein the shape memory alloyincludes nickel and titanium.
 50. The method of claim 48, wherein theshape memory alloy is a nickel-titanium based binary alloy.
 51. Themethod of claim 48, wherein the shape memory alloy is a nickel-titaniumbased ternary alloy.
 52. The method of claim 51, wherein thenickel-titanium based ternary alloy of the formula Ni—Ti—X wherein X isCo, Cr, Fe, or Nb
 53. The method of claim 48, wherein the shape memoryalloy includes a copper based alloy, an iron based alloy or acombination of both.
 54. The method of claim 53, wherein the shapememory alloy is the copper based alloy includes CuZnAl or CuAlNi. 55.The method of claim 53, wherein the shape memory alloy is the iron basedalloy includes FeNiAl, FeNiCo, FeMnSiCrNi or FeNiCoAlTaB.
 56. The methodof claim 19, wherein the nonnolinear file is formed of a material thatincludes a shape memory alloy.
 57. The method of claim 56, wherein theshape memory alloy includes nickel and titanium.
 58. The method of claim56, wherein the shape memory alloy is a nickel-titanium based binaryalloy.
 59. The method of claim 56, wherein the shape memory alloy is anickel-titanium based ternary alloy.
 60. The method of claim 59, whereinthe nickel-titanium based ternary alloy of the formula Ni—Ti—X wherein Xis Co, Cr, Fe, or Nb
 61. The method of claim 56, wherein the shapememory alloy includes a copper based alloy, an iron based alloy or acombination of both.
 62. The method of claim 61, wherein the shapememory alloy is the copper based alloy includes CuZnAl or CuAlNi. 63.The method of claim 61, wherein the shape memory alloy is the iron basedalloy includes FeNiAl, FeNiCo, FeMnSiCrNi or FeNiCoAlTaB.
 64. The methodof claim 29, wherein the nonlinear file is formed of a material thatincludes a shape memory alloy.
 65. The method of claim 64, wherein theshape memory alloy includes nickel and titanium.
 66. The method of claim64, wherein the shape memory alloy is a nickel-titanium based binaryalloy.
 67. The method of claim 64, wherein the shape memory alloy is anickel-titanium based ternary alloy.
 68. The method of claim 67, whereinthe nickel-titanium based ternary alloy of the formula Ni—Ti—X wherein Xis Co, Cr, Fe, or Nb
 69. The method of claim 64, wherein the shapememory alloy includes a copper based alloy, an iron based alloy or acombination of both.
 70. The method of claim 69, wherein the shapememory alloy is the copper based alloy includes CuZnAl or CuAlNi. 71.The method of claim 69, wherein the shape memory alloy is the iron basedalloy includes FeNiAl, FeNiCo, FeMnSiCrNi or FeNiCoAlTaB.
 72. The methodof claim 32, wherein the nonlinear file is formed of a material thatincludes a shape memory alloy.
 73. The method of claim 72, wherein theshape memory alloy includes nickel and titanium.
 74. The method of claim72, wherein the shape memory alloy is a nickel-titanium based binaryalloy.
 75. The method of claim 72, wherein the shape memory alloy is anickel-titanium based ternary alloy.
 76. The method of claim 75, whereinthe nickel-titanium based ternary alloy of the formula Ni—Ti—X wherein Xis Co, Cr, Fe, or Nb
 77. The method of claim 72, wherein the shapememory alloy includes a copper based alloy, an iron based alloy or acombination of both.
 78. The method of claim 77, wherein the shapememory alloy is the copper based alloy includes CuZnAl or CuAlNi. 79.The method of claim 77, wherein the shape memory alloy is the iron basedalloy includes FeNiAl, FeNiCo, FeMnSiCrNi or FeNiCoAlTaB.
 80. The methodof claim 37, wherein the nonlinear file is formed of a material thatincludes a shape memory alloy.
 81. The method of claim 80, wherein theshape memory alloy includes nickel and titanium.
 82. The method of claim80, wherein the shape memory alloy is a nickel-titanium based binaryalloy.
 83. The method of claim 80, wherein the shape memory alloy is anickel-titanium based ternary alloy.
 84. The method of claim 83, whereinthe nickel-titanium based ternary alloy of the formula Ni—Ti—X wherein Xis Co, Cr, Fe, or Nb
 85. The method of claim 80, wherein the shapememory alloy includes a copper based alloy, an iron based alloy or acombination of both.
 86. The method of claim 85, wherein the shapememory alloy is the copper based alloy includes CuZnAl or CuAlNi. 87.The method of claim 85, wherein the shape memory alloy is the iron basedalloy includes FeNiAl, FeNiCo, FeMnSiCrNi or FeNiCoAlTaB.
 88. The methodof claim 39, wherein the nonlinear file is formed of a material thatincludes a shape memory alloy.
 89. The method of claim 89, wherein theshape memory alloy includes nickel and titanium.
 90. The method of claim89, wherein the shape memory alloy is a nickel-titanium based binaryalloy.
 91. The method of claim 89, wherein the shape memory alloy is anickel-titanium based ternary alloy.
 92. The method of claim 91, whereinthe nickel-titanium based ternary alloy of the formula Ni—Ti—X wherein Xis Co, Cr, Fe, or Nb
 93. The method of claim 88, wherein the shapememory alloy includes a copper based alloy, an iron based alloy or acombination of both.
 94. The method of claim 93, wherein the shapememory alloy is the copper based alloy includes CuZnAl or CuAlNi. 95.The method of claim 93, wherein the shape memory alloy is the iron basedalloy includes FeNiAl, FeNiCo, FeMnSiCrNi or FeNiCoAlTaB.
 96. The methodof claim 43, wherein the non-superelastic file is formed of a materialthat includes a shape memory alloy.
 97. The method of claim 96, whereinthe shape memory alloy includes nickel and titanium.
 98. The method ofclaim 96, wherein the shape memory alloy is a nickel-titanium basedbinary alloy.
 99. The method of claim 96, wherein the shape memory alloyis a nickel-titanium based ternary alloy.
 100. The method of claim 99,wherein the nickel-titanium based ternary alloy of the formula Ni—Ti—Xwherein X is Co, Cr, Fe, or Nb
 101. The method of claim 96, wherein theshape memory alloy includes a copper based alloy, an iron based alloy ora combination of both.
 102. The method of claim 101, wherein the shapememory alloy is the copper based alloy includes CuZnAl or CuAlNi. 103.The method of claim 101, wherein the shape memory alloy is the ironbased alloy includes FeNiAl, FeNiCo, FeMnSiCrNi or FeNiCoAlTaB.